Organization
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Active
Other names
Florida Cancer Specialists P L
Organization subpart
No
Provider details
NPI number
Authorized official
LUCIO NAVARRO GORDAN (PRESIDENT)
(239) 274-8200
Entity
Organization
Contact information
Practice address
2351 PHILLIPS RD, TALLAHASSEE, FL 32308-5333
(508) 778-1668
(850) 877-0431
Mailing address
4371 VERONICA S SHOEMAKER BLVD, ATTN: CREDENTIAL DEPARTMENT, FORT MYERS, FL 33916-2216
(239) 274-8200
(239) 278-3350
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
FL
207RH0000X
Hematology (Internal Medicine) Physician
—
FL
207RX0202X
Medical Oncology Physician
Primary
—
FL
207VX0201X
Gynecologic Oncology Physician
—
—
207ZC0006X
Clinical Pathology Physician
—
FL
207ZH0000X
Hematology (Pathology) Physician
—
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
FL
2085R0001X
Radiation Oncology Physician
—
FL
2085R0202X
Diagnostic Radiology Physician
—
FL
2085R0203X
Therapeutic Radiology Physician
—
FL
Other
Enumeration date
10/08/2012
Last updated
04/16/2021
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