Florida Cancer Specialists & Research Institute, LLC
Internal Medicine, Medical Oncology in Bradenton, FL. Organization (NPI-2).
NPI number1508973231
StatusActive
Last updated in NPPESMay 25, 2022
Details
- NPI
- 1508973231
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Cancer Specialists & Research Institute, LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2006
- Certification date
- May 25, 2022
- Last updated
- May 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | – | FL | Yes |
| 207RH0000X | Internal Medicine, Hematology | – | – | |
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | |
| 2085R0203X | Radiology, Therapeutic Radiology | – | – |
Other names
- Florida Cancer Specialists P L (Former Legal Business Name)
Practice location
3630 Manatee Ave WBradenton, FL 34205-2557
Phone 941-792-1881 · Fax 941-795-3924
Mailing address
Po Box 102222Attn: Credential Department
Atlanta, GA 30368-2222
Phone 239-274-8200 · Fax 239-278-3350
Authorized official
Lucio Navarro Gordan
President/Managing Partner
2392748200
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