FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1861500068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861500068 |
Entity Type | Organization |
Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
Practice Address |
6360 Pine Ridge Rd Suite #201 Naples FL 34119-3907 |
Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
Practice Telephone | 2393536636 |
Practice Fax Number | 2393541853 |
Mailing Telephone | 2392748200 |
Mailing Fax Number | 2392783350 |
Enumeration Date | 2006-08-28 |
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 | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 254016912 | 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 |
6360 PINE RIDGE RD SUITE #201 |
City | NAPLES |
State | FL |
Zip Code | 34119-3907 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750370755 | Steven B Newman | Internal Medicine | 6360 Pine Ridge Rd, Suite 201, Naples, FL 34119-3907 | 2005-10-21 |
1932298338 | Griffith Cosmetic & Family Dental Care | Clinic/Center | 6360 Pine Ridge Rd, Suite 202, Naples, FL 34119-3907 | 2006-10-12 |
1871682625 | Diana Eileen Griffith | Dentist | 6360 Pine Ridge Rd, Suite 202, Naples, FL 34119-3907 | 2006-10-12 |
1508953498 | Johnn Griffith | Dentist | 6360 Pine Ridge Rd, Suite 202, Naples, FL 34119-3907 | 2006-10-10 |
1295718815 | Mark J. Moskowitz | Internal Medicine | 6360 Pine Ridge Rd, Suite #201, Naples, FL 34119-3907 | 2005-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114553005 | Michael Spicuzza | Emergency Medical Technician, Intermediate | 3315 Grand Cypress Drive, #201, Naples, FL 34119 | 2020-03-23 |
1033771993 | Stephanie N Chandler | Nurse Practitioner | 6340 Pine Ridge Rd, Suite 201, Naples, FL 34119 | 2019-07-01 |
1174041701 | Bradley W. Coleman | Pharmacist | 3917 Upolo Lane, Naples, FL 34119 | 2017-09-04 |
1437676350 | Brenda A Schlueter | Clinic/Center | 7070 Venice Way Apt 2904, Naples, FL 34119 | 2017-08-23 |
1457760548 | Loving Care Home Health Agency, Inc. | Home Health | 2590 Northbrooke Plaza Drive, Suite 208, Naples, FL 34119 | 2014-08-04 |
1578971826 | Maria Rienzi | Physician Assistant | Physicians Regional Medical Group, 6101 Pine Ridge Rd, Naples, FL 34119 | 2014-07-31 |
1861832941 | Queanh N Phan | Dentist | 8855 Immokalee Rd, Suite 10, Naples, FL 34119 | 2013-07-03 |
1144505199 | Isabelle Faucher | Dietitian, Registered | 4522 Executive Dr Unit 103, Naples, FL 34119 | 2011-10-20 |
1528340973 | Amy Hemsworth | Pharmacist | 13520 Tamiami Trail N, Naples, FL 34119 | 2011-09-12 |
1437469970 | Marika Walker | Physician Assistant | 4513 Executive Dr., Naples, FL 34119 | 2010-10-18 |
Find all providers in zip 34119 |
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 |
---|---|---|---|---|
1003163072 | Karen Moss Ezrine | Internal Medicine | 762 Regency Reserve Cir, Naples, FL 34119-2371 | 2012-08-09 |
1952509606 | Jay Wang | Internal Medicine | 8350 Sierra Meadows Blvd Fl 2, Florida Cancer Specialists P L, Naples, FL 34113-7328 | 2007-07-04 |
1750370755 | Steven B Newman | Internal Medicine | 6360 Pine Ridge Rd, Suite 201, Naples, FL 34119-3907 | 2005-10-21 |
1396163473 | Ocala Oncology Center Pl | Internal Medicine | 11181 Health Park Blvd, Suite 1180, Naples, FL 34110-5738 | 2014-04-04 |
1871776757 | Zanetta Stewart Lamar | Internal Medicine | 1100 Goodlette Rd N, Naples, FL 34102-5451 | 2007-12-13 |
1265595060 | Daniel J Morris | Internal Medicine | 1100 Goodlette Rd N, Naples, FL 34102-5451 | 2006-12-19 |
1124181409 | Albert L Kerns | Internal Medicine | 400 8th St N, Naples, FL 34102-5519 | 2006-12-18 |
1467556597 | Nchmd, Inc | Internal Medicine | 681 4th Ave N, Suite 2, Naples, FL 34102-5729 | 2006-09-11 |
1831120195 | Nchmd Inc | Internal Medicine | 311 9th Street North, Suite 304, Naples, FL 34102-5887 | 2006-07-05 |
1780654889 | Andrew Jason Lipman | Internal Medicine | 681 4th Ave N, Lugert West Building, Naples, FL 34102-5729 | 2006-01-23 |
Find all providers in NAPLES |
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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.