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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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