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Organization
FLORIDA CANCER SPECIALISTS P L
Active
Organization
FLORIDA CANCER SPECIALISTS P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM N. HARWIN M.D. (PRESIDENT / MANAGING PARTNER)
(239) 274-8200
Entity
Organization
Contact information
Practice address
345 CLYDE MORRIS BLVD, SUITE 490, ORMOND BEACH, FL 32174-3111
(386) 672-3933
(386) 672-3911
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540169-92
—
FL
Enumeration date
09/10/2014
Last updated
05/23/2016
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