FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI# 1952653461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952653461 |
| Entity Type | Organization |
| Organization Name | FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC |
| Other Organization Name | FLORIDA CANCER SPECIALISTS P L |
| Practice Address |
2626 Care Drive Ste 200 Tallahassee FL 32308-4489 |
| Mailing Address |
4371 Veronica S Shoemaker Blvd Attn: Credential Department Fort Myers FL 33916-2216 |
| Practice Telephone | 8502195830 |
| Practice Fax Number | 8506711251 |
| Mailing Telephone | 2392748200 |
| Mailing Fax Number | 2392783350 |
| Enumeration Date | 2012-10-08 |
| 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 | 103T00000X | Psychologist | FL | Behavioral Health & Social Service Providers | |
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
FL | Allopathic & Osteopathic Physicians | |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
FL | Allopathic & Osteopathic Physicians | |
| N | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
FL | Allopathic & Osteopathic Physicians | |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
FL | Allopathic & Osteopathic Physicians | |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
FL | Allopathic & Osteopathic Physicians | |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
FL | Allopathic & Osteopathic Physicians | |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
FL | Allopathic & Osteopathic Physicians |
| 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 |
2626 CARE DRIVE STE 200 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-4489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518968551 | Capital Regional Healthcare | Internal Medicine | 2626 Care Drive, Suite 200, Tallahassee, FL 32308 | 2005-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1922299312 | Tallahassee Cancer Center Pl | Internal Medicine | 1901 Welby Way, Tallahassee, FL 32308-4453 | 2007-08-09 |
| 1740383181 | Marie Michelle Amanze | Internal Medicine | 1309 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2006-09-07 |
| 1972862555 | Hematology Oncology Solutions of Tallahassee LLC | Internal Medicine | 1309 Thomaswood Dr, Tallahassee, FL 32308-7915 | 2012-05-16 |
| 1215207360 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1775 One Healing Place, Tmpp - Cancer & Hematology, Tallahassee, FL 32308 | 2012-01-06 |
| 1396922654 | Jeannine M Silberman | Internal Medicine | 1775 One Healing Pl, 2nd Floor, Tallahassee, FL 32308-4600 | 2008-01-29 |
| 1669669438 | Tallahassee Cancer Institute, Pl | Internal Medicine | 1653 Mahan Center Blvd, Tallahassee, FL 32308-5454 | 2007-09-26 |
| 1427261726 | Jorge V Perez De Armas | Internal Medicine | 1775 One Healing Pl, Tallahassee, FL 32308-4600 | 2007-05-07 |
| 1366566077 | Hematology Oncology Associates of Northwest Florida LLP | Internal Medicine | 1632 Riggins Rd, Tallahassee, FL 32308-5316 | 2007-03-19 |
| 1932280138 | Jayan Nair | Internal Medicine | 1775 One Healing Pl, Tallahassee, FL 32308-4600 | 2006-10-17 |
| 1083701908 | Janice W. Lawson | Internal Medicine | 1775 One Healing Place, 2nd Floor, Tallahassee, FL 32308 | 2006-10-10 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
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.