Palm Beach Cancer Institute LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

PALM BEACH CANCER INSTITUTE LLC

Practice address

1309 N Flagler Dr
West Palm Beach, FL 33401-3406

Phone

(561) 366-4100

Fax

(561) 366-4189

NPI assigned

Jun 17, 2006

Last updated

Jan 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa San Roman

Title

Credentialing Coordinator

Phone

(561) 366-4104

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 3

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.

• Lee A Fox, M.D.

  • Diagnostic Radiology Physician
  • Jupiter, FL
  • NPI 1659323368
  NPD
• Carisa Karin Pearce, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Palm Beach Gardens, FL
  • NPI 1013175488
  NPD (past)
• Robin S. Stevens, ARNP

  • Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1730121971
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1639114408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863310",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863310",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013406",
            "telephone_number": "561-366-4100",
            "fax_number": "561-366-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH CANCER INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "SAN ROMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "561-366-4104"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267990600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267990604",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267990601",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267990602",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267990603",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Palm
• Palm Beach Atlantic University
• Palm Beach Atlantic University (PBAU Sports Medicine)
• Palm Beach Brain and Spine LLC
• Palm Beach Cancer Institute LLC
• Palm Beach Cancer Institute, LLC.
• Palm Beach Children's Associates, P.a.
• Palm Beach Children's Therapy, LLC
• Palm Beach Concierge Doctors
• Palm Beach Counseling and Behavioral Health, Inc.

• Hematology & Oncology Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Hematology & Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.