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
9832 US HWY 441, SUITE 101, LEESBURG, FL 34788-3984
(352) 787-3341
(352) 787-7491
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
Enumeration date
01/15/2016
Last updated
02/04/2019
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