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
3630 MANATEE AVE W, BRADENTON, FL 34205-2557
(941) 792-1881
(941) 795-3924
Mailing address
PO BOX 102222, ATTN: CREDENTIAL 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
—
FL
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254016911
—
FL
01
—
CN6270
RAILROAD MEDICARE
FL
Enumeration date
08/25/2006
Last updated
05/25/2022
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