Active NPI
Florida Cancer Specialists & Research Institute, LLC
- Hematology & Oncology Physician
- Englewood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
- Practice address
- 714 Doctors Dr
Englewood, FL 34223-3992 - Phone
- (941) 460-1300
- Fax
- (941) 460-1306
- NPI assigned
- Dec 29, 2006
- Last updated
- Nov 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucio Navarro Gordan
- Title
- President Managing Partner
- Phone
- (239) 274-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | |||
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Medical Oncology Physician | 207RX0202X |
Addresses
Primary practice location
714 Doctors Dr
Englewood, FL 34223-3992
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other names 1
- Florida Cancer Specialists P L
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040216000091 | FL | Part B Supplier - Clinic/Group Practice | 2567356058 |
Receives reassigned benefits from 964 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Hematology & Oncology Physician
- Sarasota, FL
- NPI 1205944410
O20040216000091
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
O20040216000091
-
- Medical Oncology Physician
- Wauchula, FL
- NPI 1265581466
O20040216000091
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D1063773 | Florida Cancer Specialists & Research Institute, | Accreditation | Jul 11, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Medical Oncology Physician
- Gainesville, FL
- NPI 1346235975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1164588695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102222",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303682222",
"telephone_number": "239-274-8200",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 DOCTORS DR",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342233992",
"telephone_number": "941-460-1300",
"fax_number": "941-460-1306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "GORDAN",
"authorized_official_first_name": "LUCIO",
"authorized_official_middle_name": "NAVARRO",
"authorized_official_title_or_position": "PRESIDENT MANAGING PARTNER",
"authorized_official_telephone_number": "239-274-8200"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Cancer Specialists P L",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Englewood, FL
- Fignar Family Practice LLC
- Fitness Quest - Bradenton LLC
- Fitness Quest Englewood LLC
- FL-I Medical Services LLC
- Florida Cancer Physicians Network LLC (Englewood Radiation Oncology Center)
- Florida Digestive Health Specialists LLP (Gulf Comprehensive Gastroenterology LLC)
- Florida Digestive Health Specialists, LLP (Gulf Comprehensive Gastroenterology, LLC)
- Florida Kidney Physicians, LLC
- John T Flynn, D.C.
- Katherine Forsman, MSP, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.