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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) Physician
2208800000XUrology Physician
3207RX0202XMedical Oncology Physician

General Provider Information

NPI Number : 1710844907
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 :
Fax Number :
Provider Business Practice Location Address
First Line : 161 E NINE MILE RD
Second Line :
City : PENSACOLA
State : FL
Zip : 32534-3140
Country : US
Telephone Number : 239-432-8500
Fax Number :
Authorized Official
Title or Position : DIRECTOR MEDICAL STAFF OFFICE
Name : CARA COHEN
Credential :
Telephone Number : 239-432-8500
Provider Enumeration Date : 01/08/2026
Last Update Date : 01/08/2026

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