FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC – NPI #1154868073
Internal Medicine

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.

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a provider located in STUART, FL. NPPES has assigned the NPI number 1154868073 to FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC on January 30, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is FLORIDA CANCER SPECIALISTS P L. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 7 years ago on Feb 04, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC below.

NPI Profile for
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

NPI Number
1154868073
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Former Legal Business Name: FLORIDA CANCER SPECIALISTS P L
Primary location
301 SE OCEAN BLVD
STE 102
STUART, FL 34994-2236
Phone: (772) 287-4061 Fax: (772) 287-4176
Mailing address
4371 VERONICA S SHOEMAKER BLVD
ATTN: CREDENTIALING DEPT
FORT MYERS, FL 33916-2216
Phone: (239) 274-8200 Fax:
Organization Subpart
No
Authorized Official
LUCIO GORDAN
PRESIDENT/MANAGING PARTNER
Phone: (239) 274-8200
Updated
Identifiers

Identifiers for FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL0149267-17
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.