Active NPI
Florida Cancer Specialists & Research Institute, LLC
- Medical Oncology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
- Practice address
- 5985 Silver Falls Run Ste 200
Bradenton, FL 34211-1291 - Phone
- (941) 907-4737
- Fax
- (941) 907-9493
- NPI assigned
- Aug 10, 2007
- Last updated
- Nov 12, 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
- 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 | |||
| Medical Oncology Physician | 207RX0202X | Primary | ||
| Diagnostic Radiology Physician | 2085R0202X | ME94215 | FL |
Addresses
Primary practice location
5985 Silver Falls Run Ste 200
Bradenton, FL 34211-1291
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254016919 | Medicaid | FL |
Other names 1
- Florida Cancer Specialists P L
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 |
|---|---|---|---|
| 10D1078858 | Florida Cancer Specialists & Research Institute, | Accreditation | Mar 13, 2028 |
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": "1186704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1336331602",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5985 SILVER FALLS RUN STE 200",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342111291",
"telephone_number": "941-907-4737",
"fax_number": "941-907-9493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-10",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"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"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME94215",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254016919",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Cancer Specialists P L",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Bradenton, FL
- Florida Aging Mental Health LLC
- Florida Anesthesia, LLC
- Florida Behavior Support
- Florida Cancer Physicians Network LLC (Manatee Cancer Center)
- Florida Cancer Physicians Network LLC (Manatee Cancer Center)
- Florida Cancer Specialists & Research Institute, LLC
- Florida Coastal Plastic Sugery
- Florida Coastal Plastic Surgery
- Florida Concerned Care, LLC (Right at Home Manatee)
- Florida Department of Health (Manatee County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.