Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
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 MD (PRESIDENT/MANAGING PARTNER)
(239) 274-8200
Entity
Organization
Contact information
Practice address
460 N ORLANDO AVE, SUITE 200 BUILDING D, ORLANDO, FL 32789
(407) 898-5452
(844) 722-1185
Mailing address
PO BOX 102222, ATTN: CREDENTIALING DEPT, 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149267-04
—
FL
Enumeration date
07/01/2015
Last updated
08/18/2022
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