Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists P L
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DIAZ (PRESIDENT)
(239) 274-8200
Entity
Organization
Contact information
Practice address
750 ORIENTA AVE, ALTAMONTE SPRINGS, FL 32701-5621
(407) 553-7710
(866) 445-1466
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPARTMENT, ATLANTA, GA 30368-2222
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540169-44
—
FL
Enumeration date
07/05/2011
Last updated
08/23/2023
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