Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists P L, Florida Cancer Specialists
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
2501 N ORANGE AVE, SUITE 389, ORLANDO, FL 32804-4623
(407) 898-5452
(407) 895-7254
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING 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
—
—
207RX0202X
Medical Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149267-03
—
FL
Enumeration date
07/17/2015
Last updated
02/04/2019
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