FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1417342759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417342759 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
1037 S State Road 7 Suite 303 Wellington FL 33414-6140 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Department Fort Myers FL 33916-2216 |
| Practice Telephone | 5613664100 |
| Practice Fax Number | 5617985581 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2019-02-04 |
| 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 | 0149267-00 | 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 |
1037 S STATE ROAD 7 SUITE 303 |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-6140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408047 | Todd Adam Gersten | Internal Medicine | 1037 S State Road 7, Suite 303, Wellington, FL 33414-6140 | 2005-06-23 |
| 1710493739 | Yasmany Dominguez | Family Medicine | 1037 S State Road 7, Wellington, FL 33414-6138 | 2017-12-28 |
| 1164872545 | Yauna Williams | Nurse Practitioner | 1037 S State Road 7, Wellington, FL 33414-6138 | 2016-06-16 |
| 1770942328 | Sarah Gaynor | Physical Therapist | 1037 S State Road 7, 111, Wellington, FL 33414-6138 | 2016-02-10 |
| 1336538289 | Ceravolo & Ceravolo, Pa | Dentist | 1037 S State Road 7, Suite 217, Wellington, FL 33414-6138 | 2015-01-15 |
| 1083020408 | Sheena L. Urdaz | Physician Assistant | 1037 S State Road 7, Wellington, FL 33414-6138 | 2014-07-07 |
| 1770913543 | Selena Buongiorno | Physician Assistant | 1037 S State Road 7, Suite 211, Wellington, FL 33414-6138 | 2013-11-15 |
| 1952743395 | Sue Yang | Dentist | 1037 S State Road 7, Suite 215, Wellington, FL 33414-6138 | 2013-07-26 |
| 1417294612 | Shane Michael Zacharewicz | Dentist | 1037 S State Road 7, Suite 211, Wellington, FL 33414-6138 | 2013-01-08 |
| 1386997047 | Melissa Elaine Mcginley | Nurse Practitioner | 1037 S State Road 7, Suite 211, Wellington, FL 33414-6138 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| 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 |
|---|---|---|---|---|
| 1558512863 | Cancer Center of Kansas, P.a. | Internal Medicine | 1323 N. A Street, Wellington, KS 67152-4319 | 2008-10-06 |
| 1962408047 | Todd Adam Gersten | Internal Medicine | 1037 S State Road 7, Suite 303, Wellington, FL 33414-6140 | 2005-06-23 |
| 1326469685 | Sfm Oncology II | Internal Medicine | 3343 State Road 7, Wellington, FL 33449 | 2014-01-03 |
| 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 | WELLINGTON |
| Zip Code | 33414 |
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.