Organization
FLORIDA CANCER AFFILIATES PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD J. ROBBINS M.D. (PRACTICE PRESIDENT)
(727) 484-7722
Entity
Organization
Contact information
Practice address
11373 CORTEZ BLVD, SUITE 200, BROOKSVILLE, FL 34613-5414
(352) 597-4998
(352) 596-6051
Mailing address
11373 CORTEZ BLVD, SUITE 200, BROOKSVILLE, FL 34613-5414
(352) 597-4998
(352) 596-6051
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004381500
—
FL
05
—
265199800
—
FL
Enumeration date
12/20/2011
Last updated
05/17/2013
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