FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1356446736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356446736 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
1970 Golf St Sarasota FL 34236-6908 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
| Practice Telephone | 9419571000 |
| Practice Fax Number | 9419512117 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | DR. LUCIO NAVARRO GORDAN (PRESIDENT/MANAGING PARTNER) |
| Authorized Official Telephone | 2392748200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 254016913 | 05 |
| 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 |
1970 GOLF ST |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740287309 | Rodrigo G Garcia | Internal Medicine | 1970 Golf St, Sarasota, FL 34236-6908 | 2005-06-28 |
| 1669020764 | Alicia Mason Bolduc | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-09-01 |
| 1649827643 | India Warner | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-08-23 |
| 1063979680 | Claudia Maria Burga | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-03-01 |
| 1023582921 | Beth Ann Taylor | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2019-01-15 |
| 1710490867 | Trenten Conkling | Physician Assistant | 1970 Golf St, Sarasota, FL 34236-6908 | 2017-11-12 |
| 1538694385 | Clarissa Mchodgkins | Physician Assistant | 1970 Golf St, Sarasota, FL 34236 | 2017-04-28 |
| 1902358310 | Nancy Devries | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2016-11-02 |
| 1821549304 | Sarah M Whipple | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236-6908 | 2016-10-19 |
| 1366822728 | Arin Jackson I | Nurse Practitioner | 1970 Golf St, Sarasota, FL 34236 | 2015-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| 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 |
|---|---|---|---|---|
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1720125024 | Phyllis Aylleen Stephenson | Internal Medicine | 4781 Chandlers Forde, Sarasota, FL 34235-7120 | 2007-01-30 |
| 1740287309 | Rodrigo G Garcia | Internal Medicine | 1970 Golf St, Sarasota, FL 34236-6908 | 2005-06-28 |
| 1093711822 | Hubert W Gerrry | Internal Medicine | 4527 Camino Real, Sarasota, FL 34231-2323 | 2005-06-27 |
| 1457408254 | Manish R. Patel | Internal Medicine | 600 N Cattlemen Rd, Suite 200, Sarasota, FL 34232-6422 | 2007-01-04 |
| 1306937669 | Manjesh Lingamurthy | Internal Medicine | 3830 Bee Ridge Rd, Suite 301, Sarasota, FL 34233-1105 | 2006-09-28 |
| 1992738058 | Tertuliano Zeferino Coutinho | Internal Medicine | 3900 Clark Rd, Bldg J Suite 1, Sarasota, FL 34233-2301 | 2006-07-09 |
| 1558393850 | Madhavi Venigalla | Internal Medicine | 1970 Golf St, Sarasota, FL 34236-6908 | 2006-07-07 |
| 1164491775 | Raymond E Markham Jr. | Internal Medicine | 1900 Brother Geenen Way, Sarasota, FL 34236-7102 | 2006-03-16 |
| 1235112053 | Caryn L. Silver | Internal Medicine | 1970 Golf St, Sarasota, FL 34236-6908 | 2005-11-25 |
| Find all providers in SARASOTA | ||||
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| 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.