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NPI Code Detail

MEDICARE: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

MEDICARE: FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0000XHematology (Internal Medicine) PhysicianFM
2207RX0202XMedical Oncology PhysicianFL
32085N0904XNuclear Radiology PhysicianFL
42085R0001XRadiation Oncology PhysicianFL
52085R0202XDiagnostic Radiology PhysicianFL
6207RH0003XHematology & Oncology PhysicianFL

Other Identifiers

General Provider Information

NPI Number : 1659648814
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-432-8341
Fax Number : 239-278-3350
Provider Business Practice Location Address
First Line : 2231 HIGHWAY 44 W
Second Line : UNIT 203
City : INVERNESS
State : FL
Zip : 34453-3879
Country : US
Telephone Number : 352-860-7400
Fax Number : 352-860-7450
Authorized Official
Title or Position : PRESIDENT
Name : LUCIO NAVARRO GORDAN
Credential :
Telephone Number : 239-274-8200
Provider Enumeration Date : 11/16/2011
Last Update Date : 11/15/2024

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Directions to “FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC ” Practice Location

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