Florida Cancer Specialists & Research Institute, LLC
Internal Medicine, Hematology & Oncology in Palm Coast, FL. Organization (NPI-2).
NPI number1972948784
StatusActive
Last updated in NPPESFeb 4, 2019
Details
- NPI
- 1972948784
- Entity type
- Organization (NPI-2)
- Legal business name
- Florida Cancer Specialists & Research Institute, LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2013
- Last updated
- Feb 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 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
61 Memorial Medical PkwySuite 2812
Palm Coast, FL 32164-5981
Phone 386-586-1860 · Fax 386-586-1861
Mailing address
4371 Veronica S Shoemaker BlvdAttn: Credentialing Department
Fort Myers, FL 33916-2216
Phone 239-274-8200 · Fax 239-278-3350
Authorized official
Lucio Navarro Gordan
President / Managing Partner
2392748200
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