FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1699158287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699158287 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
2501 N Orange Ave Suite 381 Orlando FL 32804-4623 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credentialing Dept Fort Myers FL 33916-2216 |
| Practice Telephone | 4078985452 |
| Practice Fax Number | 4078941183 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2019-02-04 |
| Authorized Official Name | DR. LUCIO NAVARRO GORDAN (PRESIDENT/MANAGING PARTNER) |
| Authorized Official Telephone | 2392748200 |
| Authorized Official Credential | MD |
| 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 | 0149267-04 | 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 |
2501 N ORANGE AVE SUITE 381 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791505 | Steven David Spector | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 N Orange Ave, Suite 308, Orlando, FL 32804-4603 | 2005-06-27 |
| 1942824032 | Matthew Walker | Physician Assistant | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2020-06-03 |
| 1609438050 | Ahmad Eyad Nihad Almusa | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2019-07-06 |
| 1619430790 | Daniel Kitner | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2019-04-07 |
| 1841750718 | Soheil Peiman | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2019-03-25 |
| 1194214502 | Naumaan Javed Hafeez | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-05-02 |
| 1447747084 | Alberto Juan Monreal | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-04-19 |
| 1841797065 | Bhumi Jayantibhai Patel | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-04-13 |
| 1568967149 | Ruoyu Miao | Student in an Organized Health Care Education/Training Program | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2018-03-27 |
| 1750891271 | Kristen G Girard | Nurse Practitioner | 2501 N Orange Ave, Orlando, FL 32804-4603 | 2017-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| 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 |
|---|---|---|---|---|
| 1467721019 | Orlando Physician Specialists LLC | Internal Medicine | 7436 Docs Grove Cir, Orlando, FL 32819-8010 | 2011-12-27 |
| 1053600510 | Florida Institute of Research, Medicine, and Surgery, P.a. | Internal Medicine | 70 W. Gore Street, Suite 100, Orlando, FL 32806-1124 | 2011-04-05 |
| 1275832974 | Hemonc Consultants | Internal Medicine | 2321 Buckingham Run Ct, Orlando, FL 32828-7837 | 2011-03-21 |
| 1740341726 | Mark A Socinski | Internal Medicine | 2501 N Orange Ave Ste 689, Orlando, FL 32804-4648 | 2006-12-13 |
| 1912086075 | Thomas J Katta, Md, Pa | Internal Medicine | 922 Lucerne Terrace, Orlando, FL 32806 | 2006-11-02 |
| 1265520100 | Mitchell Machado | Internal Medicine | 7975 Lake Underhill Rd Ste 220b, Orlando, FL 32822 | 2006-10-10 |
| 1205934288 | Thomas J Katta | Internal Medicine | 922 Lucerne Ter, Orlando, FL 32806-1013 | 2006-09-21 |
| 1154312783 | Vinicio Hernandez | Internal Medicine | 7301 Stonerock Circle, Orlando, FL 32819 | 2005-11-02 |
| 1366435927 | Geethanjali K Akula | Internal Medicine | 70 W Gore St Ste 100, Orlando, FL 32806-1124 | 2005-08-29 |
| 1972503159 | Rebecca Lynn Moroose | Internal Medicine | 22 W Underwood St, Orlando, FL 32806-1110 | 2005-07-28 |
| Find all providers in ORLANDO | ||||
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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.