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Florida Cancer Specialists & Research Institute, LLC

Internal Medicine, Hematology & Oncology in Stuart, FL. Organization (NPI-2).

NPI number1154868073
StatusActive
Last updated in NPPESFeb 4, 2019

Details

NPI
1154868073
Entity type
Organization (NPI-2)
Legal business name
Florida Cancer Specialists & Research Institute, LLC
Organization subpart
No
Enumeration date
Jan 30, 2017
Last updated
Feb 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & Oncology––Yes
207RH0000X Internal Medicine, Hematology––
207RX0202X Internal Medicine, Medical Oncology––

Other names

  • Florida Cancer Specialists P L (Former Legal Business Name)

Practice location

301 Se Ocean Blvd
Ste 102
Stuart, FL 34994-2236

Phone 772-287-4061 · Fax 772-287-4176

Mailing address

4371 Veronica S Shoemaker Blvd
Attn: Credentialing Dept
Fort Myers, FL 33916-2216

Phone 239-274-8200

Authorized official

Lucio Navarro Gordan
President/Managing Partner
2392748200

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