Organization Active NPI

Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Largo, FL
National Provider Identifier
1215230933
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
Legal business name
FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Practice address
8787 Bryan Dairy Rd
Suite 210
Largo, FL 33777-1206
Phone
(727) 397-9641
Fax
(727) 393-4194
NPI assigned
Dec 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Dr. Lucio Navarro Gordan
Title
President
Phone
(239) 274-8200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X FL
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X FL Primary

Addresses

Primary practice location

8787 Bryan Dairy Rd
Suite 210
Largo, FL 33777-1206

Mailing address

PO Box 102222
Attn: Credential Department
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other identifiers 1

IdentifierTypeStateIssuer
2540169-38MedicaidFL

Other names 1

  • Florida Cancer Specialists P L Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0677031Florida Cancer Specialists & Research Institute,8787 Bryan Dairy Rd Ste 210, Largo, FL 33777AccreditationApr 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1215230933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "address_2": "ATTN: CREDENTIAL DEPARTMENT",
            "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": "8787 BRYAN DAIRY RD",
            "address_2": "SUITE 210",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337771206",
            "telephone_number": "727-397-9641",
            "fax_number": "727-393-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "GORDAN",
        "authorized_official_first_name": "LUCIO",
        "authorized_official_middle_name": "NAVARRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-274-8200",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540169-38",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Cancer Specialists P L",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.