# FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063054153
- **Authorized official:** LUCIO NAVARRO GORDAN MD (MANAGING PARTNER)
- **Authorized official phone:** (239) 274-8200

## Contact information

- **Practice address:** 6310 HEALTH PARK WAY STE 200, LAKEWOOD RANCH, FL 34202-5177
- **Practice address phone:** (941) 907-4737
- **Practice address fax:** (941) 907-9493
- **Mailing address:** 4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
- **Mailing address phone:** (239) 274-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | — |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0203X | Therapeutic Radiology Physician | — | NULL | — |
| 2085R0203X | Therapeutic Radiology Physician | — | — | — |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 12/27/2022