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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

NPI Number 1851409056
LBN Legal business name FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Authorized official LUCIO GORDAN - (PRESIDENT/MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2006
Last updated 02/04/2019 - About 7 years ago
Identifiers
FL Medicaid 254016906
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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