# CENTRAL FLORIDA CANCER INSTITUTE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235478603
- **Authorized official:** RANDY HEYSEK (CFO)
- **Authorized official phone:** (407) 566-9899

## Contact information

- **Practice address:** 40107 HIGHWAY 27, DAVENPORT, FL 33837-5901
- **Practice address phone:** (863) 419-0692
- **Practice address fax:** (863) 419-1695
- **Mailing address:** 1420 CELEBRATION BLVD, CELEBRATION, FL 34747-5159
- **Mailing address phone:** (407) 566-9899
- **Mailing address fax:** (407) 566-9899

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | ME51222 | FL | Yes |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 12/23/2022