FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1336568583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336568583 |
Entity Type | Organization |
Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
Practice Address |
1630 Se 18th St Bldg 600, Suite 602 Ocala FL 34471-5471 |
Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Fort Myers FL 33916-2216 |
Practice Telephone | 3523690181 |
Practice Fax Number | 3523690246 |
Mailing Telephone | 2392748200 |
Mailing Fax Number | 2392783350 |
Enumeration Date | 2014-04-15 |
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 | 254016988 | 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 |
1630 SE 18TH ST BLDG 600, SUITE 602 |
City | OCALA |
State | FL |
Zip Code | 34471-5471 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235199878 | Craig Harry Reynolds | Internal Medicine | 1630 Se 18th St, Bldg 600. Ste 602, Ocala, FL 34471-5472 | 2006-03-27 |
1801201751 | Katherine Kasmer Keel | Nurse Practitioner | 1630 Se 18th St, Suite 400, Ocala, FL 34471-5471 | 2014-06-29 |
1982016267 | Concierge Bariatrics | Surgery | 1630 Se 18th St, Unit 103, Ocala, FL 34471-5471 | 2014-05-21 |
1912258989 | Midstate Skin Institute, LLC | Dermatology | 1630 Se 18th St, Suite 400, Ocala, FL 34471-5471 | 2012-09-30 |
1720254071 | Ashley Cauthen | Dermatology | 1630 Se 18th St, Suite 400, Ocala, FL 34471-5471 | 2008-05-07 |
1083709158 | Philip N Johnson Md, Pa | Obstetrics & Gynecology | 1630 Se 18th St, #300, Ocala, FL 34471 | 2006-10-04 |
1881606366 | Jackie B Davis | Advanced Practice Midwife | 1630 Se 18th St, Bldg 300, Ocala, FL 34471-5471 | 2006-08-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790385383 | Samer Faragalla | Pharmacist | 2600 Sw 19th Ave Rd, Ocala, FL 34471 | 2020-10-31 |
1336789684 | Anthony Smith | Behavior Technician | 2102 Sw 20th Place Ste 302, Ocala, FL 34471 | 2020-01-14 |
1871136788 | Toni Trask | Counselor | 300 Se Sanchez Ave, Ocala, FL 34471 | 2019-10-23 |
1538701354 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1315 Se 25th Loop #102, Ocala, FL 34471 | 2019-10-14 |
1730666355 | Next Pt Group Florida, LLC | Occupational Therapist | 1661 Se 31st St Unit 3, Ocala, FL 34471 | 2018-07-26 |
1902397680 | Aidan Thurian Charles | Student in an Organized Health Care Education/Training Program | 1431 Sw First Avenue, Ocalu, FL 34471 | 2018-05-29 |
1871084426 | Infectious Diseases Specialty Associates Pllc | Internal Medicine | 150 Se 17th St Ste 801, Ocala, FL 34471 | 2018-05-18 |
1528560950 | Guillot Enterprises, LLC | Hearing Instrument Specialist | 2400 Sw College Rd., Suite 202, Ocala, FL 34471 | 2018-03-01 |
1518469071 | Jordan Griffis | Nurse Practitioner | 1630 Se 18th Street Building 600 Suite 602, Ocala, FL 34471 | 2018-03-01 |
1780192112 | Pmc Knee Pain & Restoration LLC | Preventive Medicine | 200 Sw 8th St Ste A, Ocala, FL 34471 | 2018-01-19 |
Find all providers in zip 34471 |
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 |
---|---|---|---|---|
1457396608 | Ravi K Koti | Internal Medicine | 2494 Sw 19th Avenue Rd, Ocala, FL 34471-7859 | 2006-06-19 |
1235199878 | Craig Harry Reynolds | Internal Medicine | 1630 Se 18th St, Bldg 600. Ste 602, Ocala, FL 34471-5472 | 2006-03-27 |
1043203888 | Anju Vasudevan | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2005-08-26 |
1124544531 | Florida Cancer Specialists & Research Institute, LLC | Internal Medicine | 4945 Sw 49th Pl, Ocala, FL 34474-9673 | 2017-08-17 |
1124300983 | Central Florida Cancer & Blood Center Pa | Internal Medicine | 2494 Sw 19th Avenue Rd, Ocala, FL 34471-7859 | 2011-09-16 |
1750573069 | Ketan D. Doshi | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2007-08-10 |
1952417370 | Ocala Cancer Institute P A | Internal Medicine | 2820 Se 3rd Ct, Suite 200, Ocala, FL 34471 | 2006-08-21 |
1285644708 | Daniel A Patterson | Internal Medicine | 321 Se 29th Pl, Ste 102, Ocala, FL 34471-0488 | 2006-08-08 |
1396709424 | Rama Balaraman | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2006-04-14 |
1457310054 | Maury Bruce Berger | Internal Medicine | 433 Sw 10th St, Ocala, FL 34471-0209 | 2006-03-22 |
Find all providers in OCALA |
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.