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Organization

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Active
Other names
Florida Cancer Specialists, Florida Cancer Specialists P L
Organization subpart
No

Provider details

NPI number
Authorized official
LUCIO NAVARRO GORDAN (PRESIDENT)
(239) 274-8200
Entity
Organization

Contact information

Practice address
40215 HIGHWAY 27, DAVENPORT, FL 33837
(863) 421-9705
(863) 421-9779
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

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
014926710
FL
Enumeration date
02/16/2016
Last updated
10/13/2023
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