Florida Cancer Specialists & Research Institute, LLC

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

Legal business name

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Practice address

3630 Manatee Ave W
Bradenton, FL 34205-2557

Phone

(941) 792-1881

Fax

(941) 795-3924

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lucio Navarro GordanNPI 1346235975

Title

President/Managing Partner

Phone

(239) 274-8200

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Florida Cancer Specialists P L Former legal business name

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

CLIA laboratory certificates

Locations (25 of 47)

Practitioners 542

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucio Navarro Gordan, MD

  • Medical Oncology Physician
  • Gainesville, FL
  • NPI 1346235975

  Hematology

  NPD (past) Authorized official
• Brian T. Berry, M.D., PHD

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1669463378

  Medical Oncology

  NPD
• Taylor Victoria Devinney, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1932982253
  NPD
• Charlotte Ekstrom

  • Gerontology Nurse Practitioner
  • Bradenton, FL
  • NPI 1558106898
  NPD
• Breanna Louise Hill, APRN

  • Nurse Practitioner
  • Riverview, FL
  • NPI 1467107284
  NPD
• Nikita Jain, MD

  • Medical Oncology Physician
  • Bradenton, FL
  • NPI 1801381900

  Hematology

  NPD
• Corrie Cross Killingsworth, APRN

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1356949077
  NPD
• Jamie Lee Koshko, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
  • NPI 1063304293
  NPD
• Amanda Louise Mavor, APRN, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Sarasota, FL
  • NPI 1396442307
  NPD
• Albio Molina Carnesoltas, APRN FNP-C

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1275243578
  NPD
• Fernando Silva

  • Nurse Practitioner
  • Bradenton, FL
  • NPI 1558777425
  NPD
• Kristen Mary Sismilich, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1194297275
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1508973231",
    "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": "3630 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342052557",
            "telephone_number": "941-792-1881",
            "fax_number": "941-795-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "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/MANAGING PARTNER",
        "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": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254016911",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN6270",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Cancer Specialists P L",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Bradenton, FL
• Medical Oncology Physician in Florida

• 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.