Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists & Research Institute, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE CHERYL WILTSHIRE (CREDENTIALING DIRECTOR)
(239) 224-3159
Entity
Organization
Contact information
Practice address
105 BADGER PARK DR # 1-4, ST JOHNS, FL 32259-1165
(239) 274-8200
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
10/18/2023
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