FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1164760427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164760427 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
70 W Gore St Suite 100 Orlando FL 32806-1124 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
| Practice Telephone | 4074268484 |
| Practice Fax Number | 4074268575 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | LUCIO NAVARRO GORDAN (PRESIDENT) |
| Authorized Official Telephone | 2392748200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Florida Cancer Specialists P L | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051482 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 5130 Linton Blvd Ste B4, Delray Beach, FL 33484-6595 | 2020-10-21 |
| 1124649710 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1658 St Vincents Way Ste 340, Middleburg, FL 32068-8431 | 2020-05-05 |
| 1063054153 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 5985 Silver Falls Run, Suite 200, Bradenton, FL 34211-1291 | 2019-10-10 |
| 1750857397 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 900 Pine St Ste 111, Englewood, FL 34223-4457 | 2018-10-22 |
| 1598290694 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 2257 Us Highway 441 N, Suite C, Okeechobee, FL 34972-1943 | 2017-04-26 |
| 1437528080 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 1301 2nd Ave Sw Ste 290, Largo, FL 33770-3120 | 2015-09-24 |
| 1972912632 | Florida Cancer Specialists & Research Institute, LLC | Clinical Medical Laboratory | 2848 Center Pointe Dr Ste B, Fort Myers, FL 33916-9521 | 2014-08-07 |
| 1528402393 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 7463 State Road 52, Hudson, FL 34667-6714 | 2013-04-24 |
| 1265775209 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4801 S Congress Ave Ste 400, Lake Worth, FL 33461-4746 | 2013-03-28 |
| 1629328745 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 810 N Spring Garden Ave, Suite 100, Deland, FL 32720-3106 | 2012-09-17 |
| Street Address |
70 W GORE ST SUITE 100 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654406 | Jason B Carter | Physician Assistant | 70 W Gore St, Ste 202, Orlando, FL 32806-1124 | 2005-08-01 |
| 1629450390 | Kristy Bowers | Nurse Practitioner | 70 W Gore St, Suite 100, Orlando, FL 32806-1124 | 2015-06-18 |
| 1427479161 | Natasha Johnson | Nurse Practitioner | 70 W Gore St, Suite 100, Orlando, FL 32806-1124 | 2013-12-24 |
| 1144657032 | Michael J Stroup, Md Pa | Obstetrics & Gynecology | 70 W Gore St, Suite 201, Orlando, FL 32806-1124 | 2013-10-09 |
| 1811291958 | Jennifer Beth Blattner | Nurse Practitioner | 70 W Gore St, Suite 200a, Orlando, FL 32806-1124 | 2011-01-04 |
| 1770739039 | Marjorie I Quevedo | Radiologic Technologist | 70 W Gore St, Ste 202, Orlando, FL 32806-1124 | 2008-08-18 |
| 1548429681 | Meera Gopal Iyengar | Internal Medicine | 70 W Gore St, Ste 100, Orlando, FL 32806-1124 | 2008-06-04 |
| 1003998253 | Ronald C Knipe Md Pa | Specialist | 70 W Gore St, Suite 200a, Orlando, FL 32806-1124 | 2006-10-19 |
| 1558384271 | Lynn T Le | Family Medicine | 70 W Gore St, Suite 201, Orlando, FL 32806-1124 | 2006-07-25 |
| 1467480574 | Amy Kathryn Wells | Nurse Practitioner | 70 W Gore St, Suite200a, Orlando, FL 32806-1124 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467721019 | Orlando Physician Specialists LLC | Internal Medicine | 7436 Docs Grove Cir, Orlando, FL 32819-8010 | 2011-12-27 |
| 1053600510 | Florida Institute of Research, Medicine, and Surgery, P.a. | Internal Medicine | 70 W. Gore Street, Suite 100, Orlando, FL 32806-1124 | 2011-04-05 |
| 1275832974 | Hemonc Consultants | Internal Medicine | 2321 Buckingham Run Ct, Orlando, FL 32828-7837 | 2011-03-21 |
| 1740341726 | Mark A Socinski | Internal Medicine | 2501 N Orange Ave Ste 689, Orlando, FL 32804-4648 | 2006-12-13 |
| 1912086075 | Thomas J Katta, Md, Pa | Internal Medicine | 922 Lucerne Terrace, Orlando, FL 32806 | 2006-11-02 |
| 1265520100 | Mitchell Machado | Internal Medicine | 7975 Lake Underhill Rd Ste 220b, Orlando, FL 32822 | 2006-10-10 |
| 1205934288 | Thomas J Katta | Internal Medicine | 922 Lucerne Ter, Orlando, FL 32806-1013 | 2006-09-21 |
| 1154312783 | Vinicio Hernandez | Internal Medicine | 7301 Stonerock Circle, Orlando, FL 32819 | 2005-11-02 |
| 1366435927 | Geethanjali K Akula | Internal Medicine | 70 W Gore St Ste 100, Orlando, FL 32806-1124 | 2005-08-29 |
| 1972503159 | Rebecca Lynn Moroose | Internal Medicine | 22 W Underwood St, Orlando, FL 32806-1110 | 2005-07-28 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.