Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists PL
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE CHERYL WILTSHIRE (ASSOCIATE DIRECTOR OF CREDENTIALING)
(239) 224-3159
Entity
Organization
Contact information
Practice address
8440 MURANO DEL LAGO DR, ESTERO, FL 34135-8615
(239) 221-5402
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/15/2024
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