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Contact Information

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
22395 EDGEWATER DR
PORT CHARLOTTE, FL33980-2012
 Phone: 941-766-7222
 Fax: 941-766-1146
 Website:
 

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
Indicates primary specialty

NPI Profile & details for FLORIDA CANCER SPECIALISTS RESEARCH INSTITUTE LLC · (Female)

NPI Number 1851409056
Status Active
Credentials
Entity Individual
Enumeration date 08/28/2006
Last updated 02/04/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 254016906
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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