Florida Cancer Specialists & Research Institute, LLC
Internal Medicine, Medical Oncology in Crestview, FL. Organization (NPI-2).
NPI number1215894415
StatusActive
Last updated in NPPESAug 18, 2026
Details
- NPI
- 1215894415
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Cancer Specialists & Research Institute, LLC
- Organization subpart
- No
- Enumeration date
- Jan 8, 2026
- Certification date
- Aug 18, 2026
- Last updated
- Aug 18, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | – | – | Yes |
| 207RH0000X | Internal Medicine, Hematology | – | – |
Practice location
601 Redstone Ave W Ste 200Crestview, FL 32536-6439
Phone 239-432-8500
Mailing address
Po Box 102222Atlanta, GA 30368-2222
Authorized official
Cara Cohen
Director Medical Staff Office
2394328500
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