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).
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 |
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 | 2540169-74 | 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 |
601 E DIXIE AVE SUITE 1001 |
City | LEESBURG |
State | FL |
Zip Code | 34748-5953 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 34748 |
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 |
---|---|---|---|---|
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 |
Find all providers in LEESBURG |
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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.