FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC – NPI #1164881355
Internal Medicine

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC is a provider located in DAVENPORT, FL. NPPES has assigned the NPI number 1164881355 to FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC on February 16, 2016. 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. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RX0202X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Medical Oncology

The NPI profile was previously updated about 3 years ago on Oct 13, 2023. 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
1164881355
Enumeration Date

(more than 10 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
Other name(s)
All associated names:
Doing Business As (dba)
Florida Cancer Specialists
Former Legal Business Name
Florida Cancer Specialists P L
Primary location
40215 HIGHWAY 27
DAVENPORT, FL 33837
Phone: (863) 421-9705 Fax: (863) 421-9779
Mailing address
PO BOX 102222
ATLANTA, GA 30368-2222
Phone: (239) 274-8200 Fax:
Organization Subpart
No
Authorized Official
LUCIO GORDAN
PRESIDENT
Phone: (239) 274-8200
Updated
Certification Date
Oct 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
medicaidFL014926710
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.

Taxonomy Classification / Specialization State License
207RX0202X
- Internal Medicine / Medical Oncology (Primary)
207RH0000X
- Internal Medicine / Hematology

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.