FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1720521446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720521446 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
4600 Sw 46th Ct Ste 330 Ocala FL 34474-5755 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Fort Myers FL 33916-2216 |
| Practice Telephone | 3522379430 |
| Practice Fax Number | 3522379698 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | DR. LUCIO NAVARRO GORDAN (PRESIDENT/MANAGING PARTNER) |
| Authorized Official Telephone | 2392748200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation 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 |
4600 SW 46TH CT STE 330 |
| City | OCALA |
| State | FL |
| Zip Code | 34474-5755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356510390 | Earl S. Stewart, M.d., P.a. | Surgery | 4600 Sw 46th Ct Ste 330, Ocala, FL 34474-5755 | 2008-02-25 |
| 1265073076 | The Orthopaedic Institute, Pa | Orthopaedic Surgery | 4600 Sw 46th Ct Ste 330, Ocala, FL 34474-5755 | 2019-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
| 1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
| 1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
| 1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
| 1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
| 1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
| 1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
| 1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
| Find all providers in zip 34474 | ||||
| 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 |
|---|---|---|---|---|
| 1457396608 | Ravi K Koti | Internal Medicine | 2494 Sw 19th Avenue Rd, Ocala, FL 34471-7859 | 2006-06-19 |
| 1235199878 | Craig Harry Reynolds | Internal Medicine | 1630 Se 18th St, Bldg 600. Ste 602, Ocala, FL 34471-5472 | 2006-03-27 |
| 1043203888 | Anju Vasudevan | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2005-08-26 |
| 1124544531 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4945 Sw 49th Pl, Ocala, FL 34474-9673 | 2017-08-17 |
| 1124300983 | Central Florida Cancer & Blood Center Pa | Internal Medicine | 2494 Sw 19th Avenue Rd, Ocala, FL 34471-7859 | 2011-09-16 |
| 1750573069 | Ketan D. Doshi | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2007-08-10 |
| 1952417370 | Ocala Cancer Institute P A | Internal Medicine | 2820 Se 3rd Ct, Suite 200, Ocala, FL 34471 | 2006-08-21 |
| 1285644708 | Daniel A Patterson | Internal Medicine | 321 Se 29th Pl, Ste 102, Ocala, FL 34471-0488 | 2006-08-08 |
| 1396709424 | Rama Balaraman | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2006-04-14 |
| 1457310054 | Maury Bruce Berger | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2006-03-22 |
| Find all providers in OCALA | ||||
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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.