FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC


Address: 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953
Phone: 3527879448

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1275876187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275876187
Entity Type Organization
Organization Name FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Other Organization Name FLORIDA CANCER SPECIALISTS P L
Practice Address 601 E Dixie Ave
Suite 1001
Leesburg
FL 34748-5953
Mailing Address 4371 Veronica S Shoemaker Blvd
Attn: Credentialing Department
Fort Myers
FL 33916-2216
Practice Telephone 3527879448
Practice Fax Number 3527873250
Mailing Telephone 2392748200
Enumeration Date 2013-03-28
Last Update Date 2019-02-01
Authorized Official Name LUCIO NAVARRO GORDAN (PRESIDENT)
Authorized Official Telephone 2392748200
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
FL 2540169-74 05

Other Provider/Organization Names

Other Name Type Code
Florida Cancer Specialists P L Former Legal Business Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 601 E DIXIE AVE
SUITE 1001
City LEESBURG
State FL
Zip Code 34748-5953

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780684399 Dino Madonna Otolaryngology 601 E Dixie Ave, Medical Plaza 901, Leesburg, FL 34748-5953 2005-07-26
1215571443 Amanda Stollar Hearing Instrument Specialist 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748 2019-10-31
1740727593 Kirsten Nolan Nurse Practitioner 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 2017-01-31
1205294212 Central Florida Premier Eye Associates Non-Pharmacy Dispensing Site 601 E Dixie Ave, Suite 201, Leesburg, FL 34748-5953 2016-02-04
1649636192 Emily Bean Hearing Instrument Specialist 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748-5953 2016-01-13
1457734212 Florida Physical Medicine & Pain Center LLC Physical Medicine & Rehabilitation 601 E Dixie Ave, Ste 101, Leesburg, FL 34748-5953 2015-06-29
1417348699 Muni V. Padman, M.d., P.a. Preferred Provider Organization 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 2015-02-10
1679811459 Muni V. Padman, M.d., P.a. Internal Medicine 601 E Dixie Ave, Plaza 101, Leesburg, FL 34748-5953 2013-01-29
1275883639 Joann Gerri Newmons Nurse Practitioner 601 E Dixie Ave, Suite 1001, Leesburg, FL 34748-5953 2012-09-13
1710205810 Painfree Physical Therapy Inc Clinic/Center 601 E Dixie Ave, Plaza 901, Leesburg, FL 34748-5953 2010-05-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437610243 Ashley Shamsa Martin Behavior Technician 292 Bent Oak Ct, Leesburg, FL 34748 2019-03-26
1891278875 Luis O Aponte Mendoza Physician Assistant 704 Doctors Ct., Suite 101, Leesburg, FL 34748 2018-09-14
1881197903 Physician Associates LLC Internal Medicine 22316 Us Highway 27, Leesburg, FL 34748 2018-03-15
1184136145 Infinite Support Services LLC In Home Supportive Care 129 Grove Ridge Circle, 104, Leesburg, FL 34748 2017-10-31
1619403037 Massage and Wellness Care Health Maintenance Organization 1218 W. Dixie Ave, Suite A, Leesburg, FL 34748 2017-05-04
1497202675 Prime Radiology of Leesburg Inc Radiology 600 N W Blvd, Suite E, Leesburg, FL 34748 2016-09-06
1023480332 Juanita Elizabeth Simpson Contractor 1911 Harcourt Drive, Leesburg, FL 34748 2015-10-26
1467835900 Serenity Choice Place, LLC Community/Behavioral Health 721 Balmoral Circle, Leesburg, FL 34748 2015-07-01
1356738397 Touching Heart's Group Homes, LLC Community/Behavioral Health 31809 Sunpark Cir, Leesburg, FL 34748 2015-04-16
1386035269 Adventist Health System/sunbelt, Inc. Clinic/Center 1103 N 14th Street, Leesburg, FL 34748 2015-02-12
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093339764 Loudoun Medical Group . P.c Internal Medicine 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 2020-05-29
1881627966 Sandeep Kumar Thaper Internal Medicine 601 E Dixie Ave Ste 1001, Leesburg, FL 34748-7309 2006-07-09
1093747560 Lake Cancer Medical Center Pa Internal Medicine 732 North Third Street, Leesburg, FL 34748 2006-07-07
1295716645 Rambabu Tummala Internal Medicine 9832 Us Hwy 441, Suite 101, Leesburg, FL 34788 2005-11-10
1275514622 Cancer Centers of Central Florida Pa Internal Medicine 9832 Us Highway 441, Ste 101, Leesburg, FL 34788-3966 2005-11-10
1356332506 Maen A Hussein Internal Medicine 110 North Boulevard East, Leesburg, FL 34748-5241 2005-11-04
1962499111 Christopher T Soprenuk Internal Medicine 9846 Us Highway 441, Leesburg, FL 34788-3910 2005-10-03
1184174336 Loudoun Medical Group . P.c Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2016-10-12
1306277793 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2013-12-10
1699909093 Mei-hwa Rose Firestone Internal Medicine 19490 Sandridge Way Ste 240, Leesburg, VA 20176-3467 2009-05-13
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Competitor

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City LEESBURG
Zip Code 34748

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Dataset Information

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.

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