Organization
CANCER CARE OF NORTH FLORIDA PA
Active
Organization
CANCER CARE OF NORTH FLORIDA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WASEEM KHAN M.D. (PRESIDENT)
(386) 755-1655
Entity
Organization
Contact information
Practice address
289 SW STONEGATE TER, SUITE 103, LAKE CITY, FL 32024-3457
(386) 755-1655
(386) 755-2330
Mailing address
PO BOX 1642, LAKE CITY, FL 32056-1642
(386) 755-1655
(386) 755-2330
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276120300
—
FL
01
—
39239
BCBS
FL
01
—
DE8930
RR MCR
FL
Enumeration date
06/14/2006
Last updated
12/30/2024
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