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)
(239) 274-8200
Entity
Organization
Contact information
Practice address
2824 ENTERPRISE RD, ORANGE CITY, FL 32763-8428
(386) 774-7411
(386) 774-7412
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
—
2540169-45
—
FL
Enumeration date
07/11/2011
Last updated
02/06/2023
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