Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
FLORIDA CANCER SPECIALISTS P L, Florida Cancer Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO NAVARRO GORDAN (PRESIDENT)
(239) 274-8200
Entity
Organization
Contact information
Practice address
1400 N US HIGHWAY 441, SUITE 540, LADY LAKE, FL 32159-8987
(352) 561-3290
(352) 561-3291
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149267-06
—
FL
Enumeration date
08/19/2015
Last updated
11/12/2024
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