Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists P L
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIO NAVARRO GORDAN (PRESIDENT/MANAGING PARTNER)
(239) 274-8200
Entity
Organization
Contact information
Practice address
1390 GRAND VENTURE DR, NORTH PORT, FL 34286-2309
(941) 257-2280
(941) 423-9180
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL 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
—
FL
207RX0202X
Medical Oncology Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254016931
—
FL
Enumeration date
09/11/2009
Last updated
10/08/2021
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