Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists P L
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCIO N. GORDAN M.D. (PRESIDENT/MANAGING PARTNER)
(352) 332-3900
Entity
Organization
Contact information
Practice address
1708 CAPE CORAL PKWY W, #10, CAPE CORAL, FL 33914-6985
(239) 541-4633
(239) 541-1825
Mailing address
PO BOX 102222, 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
—
—
207ZC0006X
Clinical Pathology Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2540169-35
—
FL
05
—
2540169-37
—
FL
05
—
2540169-38
—
FL
05
—
2540169-39
—
FL
05
—
2540169-40
—
FL
05
—
2540169-41
—
FL
05
—
2540169-42
—
FL
05
—
2540169-43
—
FL
05
—
254016900
—
FL
05
—
254016901
—
FL
05
—
254016902
—
FL
05
—
254016903
—
FL
05
—
254016904
—
FL
05
—
254016906
—
FL
05
—
254016908
—
FL
05
—
254016909
—
FL
05
—
254016910
—
FL
05
—
254016911
—
FL
05
—
254016912
—
FL
05
—
254016913
—
FL
05
—
254016915
—
FL
05
—
254016916
—
FL
05
—
254016917
—
FL
05
—
254016918
—
FL
05
—
254016919
—
FL
05
—
254016920
—
FL
05
—
254016922
—
FL
05
—
254016924
—
FL
05
—
254016925
—
FL
05
—
254016927
—
FL
05
—
254016928
—
FL
05
—
254016929
—
FL
05
—
254016930
—
FL
05
—
254016931
—
FL
05
—
254016932
—
FL
05
—
254016933
—
FL
05
—
254016934
—
FL
Enumeration date
08/28/2006
Last updated
11/12/2024
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