FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1255711404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255711404 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
1503 Buenos Aires Blvd Bldg 140 The Villages FL 32159-6823 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Department Fort Myers FL 33916-2216 |
| Practice Telephone | 3527505105 |
| Practice Fax Number | 3527505138 |
| Mailing Telephone | 2392748200 |
| Enumeration Date | 2015-06-03 |
| 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 | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 0149267-01 | 05 |
| Other Name | Type Code |
|---|---|
| FLORIDA CANCER SPECIALISTS | Doing Business As Name - Organization |
| 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 |
1503 BUENOS AIRES BLVD BLDG 140 |
| City | THE VILLAGES |
| State | FL |
| Zip Code | 32159-6823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383980 | Rakesh Rohatgi | Internal Medicine | 1503 Buenos Aires Blvd, Bldg 140, The Villages, FL 32159-6823 | 2005-06-01 |
| 1528541166 | Sara Michele Rojek | Physician Assistant | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2018-09-10 |
| 1801344668 | Arethea Tamara Moise | Nurse Practitioner | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2016-09-21 |
| 1093107641 | Nicole Wharton | Physician Assistant | 1503 Buenos Aires Blvd, Bldg 100, The Villages, FL 32159-6821 | 2015-02-19 |
| 1790059640 | Alfredo Perlas Sy | Physician Assistant | 1503 Buenos Aires Blvd, Building 100, The Villages, FL 32159-6821 | 2012-02-23 |
| 1841578309 | Sheila Kreienbrink | Physician Assistant | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2011-08-01 |
| 1700044286 | Leavitt Medical Associates of Florida Inc | Dermatology | 1503 Buenos Aires Blvd, The Villages, FL 32159-6821 | 2008-05-30 |
| 1821211335 | Rivers Family Medicine Pa | Family Medicine | 1503 Buenos Aires Blvd, Bldg 110, The Villages, FL 32159-6821 | 2007-04-11 |
| 1205928512 | Angel E Tafur Md Pa | Family Medicine | 1503 Buenos Aires Blvd, Building 160, The Villages, FL 32159-6821 | 2006-09-28 |
| 1821005141 | Patricia Lynn Cheston | Physician Assistant | 1503 Buenos Aires Blvd, 110, The Villages, FL 32159-6821 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451216 | Lindsey Porubcan | Physician Assistant | 990 South Us Highway 441/27, Lady Lake, FL 32159 | 2020-09-09 |
| 1073134979 | Michael Robert Frates | Dietitian, Registered | 900 Cr 466, Lady Lake, FL 32159 | 2020-05-01 |
| 1346800364 | Barbara Conrad | Social Worker | 906 Orchid Street, Lady Lake, FL 32159 | 2019-06-20 |
| 1962977165 | Curelogics Wound Care and Hyperbaric LLC | Registered Nurse | 809 County Road 466, Unit C-201, Lady Lake, FL 32159 | 2018-10-04 |
| 1346736907 | Caroline Butler | Physician Assistant | 805 E. Cr 466, Lady Lake, FL 32159 | 2018-07-06 |
| 1033609607 | Cyrus Immanuel Macalisang Doroy | Physical Therapist | 6340 County Rd 466, Suite 733, Lady Lake, FL 32159 | 2018-05-18 |
| 1962999680 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 1501 Us Hwy 441, Villages, FL 32159 | 2018-04-18 |
| 1538683198 | Cathleen Laurel Civiello | Psychologist | 929 H. Hwy 441, Suite 404, Lady Lake, FL 32159 | 2017-07-26 |
| 1649709015 | Adria Young | Optometrist | 801 Cr 466, Suite 102 Sunset Plaza, Lady Lake, FL 32159 | 2017-06-08 |
| 1891222527 | Center for Hope and Healing, LLC | Social Worker | 804 Hwy 466, Lady Lake, FL 32159 | 2017-05-12 |
| Find all providers in zip 32159 | ||||
| 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 |
|---|---|---|---|---|
| 1750383980 | Rakesh Rohatgi | Internal Medicine | 1503 Buenos Aires Blvd, Bldg 140, The Villages, FL 32159-6823 | 2005-06-01 |
| 1629603568 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 2955 Brownwood Blvd, 107, The Villages, FL 32163-2036 | 2020-03-11 |
| 1922296631 | Central Florida Hematology and Oncology | Internal Medicine | 1400 N Us Highway 441, Ste 557, The Villages, FL 32159-8975 | 2007-10-09 |
| 1891729786 | Pablo C Reyes Jr. | Internal Medicine | 1400 N Us Highway 441, Suite 924, The Villages, FL 32159-8975 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194343210 | Jayaben Patel | Internal Medicine | 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 | 2020-07-07 |
| 1922628833 | Heme Onc Call, LLC | Internal Medicine | 5825 Sw 117th St, Pinecrest, FL 33156-5007 | 2020-04-21 |
| 1457851552 | Yvette M Herrington | Internal Medicine | 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 | 2018-02-15 |
| 1104360221 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 658 Oviedo Medical Drive, Oviedo, FL 32765 | 2016-12-08 |
| 1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
| 1073901187 | Edward Mcaloon | Internal Medicine | 108 Homeport Dr, Palm Harbor, FL 34683-5409 | 2014-12-26 |
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1912311630 | David Longacre | Internal Medicine | 2439 Weymouth Dr, Clearwater, FL 33764-6556 | 2014-06-20 |
| 1508270778 | Gerard Chaaya | Internal Medicine | 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 | 2014-06-16 |
| 1982026670 | Mid Florida Hematology and Oncology Centers Pa | Internal Medicine | 2100 W 1st St, Sanford, FL 32771-1603 | 2014-01-14 |
| Find all providers with the same taxonomy | ||||
| City | THE VILLAGES |
| Zip Code | 32159 |
Please comment or provide details below to improve the information on FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC.
| 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.