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Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO NAVARRO GORDAN MD (PRESIDENT/MANAGING PARTNER)
(386) 401-7066
Entity
Organization
Contact information
Practice address
795 SW STATE ROAD 47, LAKE CITY, FL 32025-0453
(239) 274-8200
Mailing address
4371 VERONICA S SHOEMAKER BLVD, 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
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Enumeration date
06/08/2019
Last updated
10/01/2019
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