NPI Profile for FLORIDA CANCER SPECIALISTS RESEARCH INSTITUTE LLC in LAKE CITY, FL.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Hematology |
207RH0000X | 11 | Physician/Internal Medicine | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Radiation Oncology |
2085R0203X |
| NPI Number | 1306405816 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/08/2019 | |
| Last updated | 10/01/2019 - About 7 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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