Organization
FLORIDA CANCER SPECIALISTS P L
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM N HARWIN M.D. (PRESIDENT/PARTNER)
(239) 274-8200
Entity
Organization
Contact information
Practice address
1400 N US HIGHWAY 441, SUITE 552, LADY LAKE, FL 32159-8987
(352) 753-9777
(352) 753-9781
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPARTMENT, FORT MYERS, FL 33916-2216
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540169-48
—
FL
Enumeration date
07/11/2011
Last updated
12/16/2014
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