Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists P L
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO NAVARRO GORDAN (PRESIDENT / MANAGING PARTNER)
(239) 274-8200
Entity
Organization
Contact information
Practice address
224 MEMORIAL MEDICAL PKWY, SUITE 300, DAYTONA BEACH, FL 32117-5122
(386) 231-4060
(813) 630-6199
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(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
—
2540169-96
—
FL
Enumeration date
09/30/2014
Last updated
11/15/2024
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