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Organization

FLORIDA CANCER SPECIALISTS P L

Active
Other names
Florida Cancer Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM N. HARWIN MD (PRESIDENT/MANAGING PARTNER)
(239) 274-8200
Entity
Organization

Contact information

Practice address
1627 US HIGHWAY 1, SUITE 201, SEBASTIAN, FL 32958-3462
(772) 388-8858
(772) 388-1373
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIALING DEPT, FORT MYERS, FL 33916-2216
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
Primary
207RX0202X
Medical Oncology Physician
208800000X
Urology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0149267-11
FL
Enumeration date
04/21/2016
Last updated
05/11/2016
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