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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
LUCIO NAVARRO GORDAN (PRESIDENT)
(239) 274-8200
Entity
Organization

Contact information

Practice address
1037 S STATE ROAD 7, SUITE 303, WELLINGTON, FL 33414-6140
(561) 366-4100
(561) 798-5581
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
207RX0202X
Medical Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149267-00
FL
Enumeration date
04/03/2015
Last updated
04/27/2022
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