NPIMap

Organization Active NPI

Florida Institute of Research, Medicine, and Surgery, P.a.

  • Hematology & Oncology Physician
  • Orlando, FL
National Provider Identifier
1053600510
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
601042 Issued in FL
Legal business name
FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A.
Practice address
70 W. Gore Street
Suite 100
Orlando, FL 32806-1124
Phone
(407) 426-8484
Fax
(407) 447-5229
NPI assigned
Apr 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lee B Cecil, CPCS
Title
Credentials/MNGD Care Coordinator
Phone
(407) 426-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 601042 FL Primary

Addresses

Primary practice location

70 W. Gore Street
Suite 100
Orlando, FL 32806-1124

Mailing address

70 W. Gore Street, Suite 100
Credentialing Department
Orlando, FL 32806-1124
Phone (407) 426-8484

Other identifiers 1

IdentifierTypeStateIssuer
260147804MedicaidFL

Other names 1

  • Cancer Centers of Florida Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cancer Centers of Fla P4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1053600510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 W. GORE STREET, SUITE 100",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-426-8484",
            "fax_number": "407-447-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W. GORE STREET",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061124",
            "telephone_number": "407-426-8484",
            "fax_number": "407-447-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA INSTITUTE OF RESEARCH, MEDICINE, AND SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-05",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CREDENTIALS/MNGD CARE COORDINATOR",
        "authorized_official_telephone_number": "407-426-8484",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "601042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260147804",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Centers of Florida",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.