NPIMap

Organization Active NPI

Florida Cancer Specialists & Research Institute, LLC

  • Medical Oncology Physician
  • Estero, FL
National Provider Identifier
1669075891
Registry record updated Nov 15, 2024
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
8440 Murano del Lago Dr
Estero, FL 34135-8615
Phone
(239) 221-5402
NPI assigned
Nov 19, 2020
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Roxane Cheryl Wiltshire
Title
Associate Director of Credentialing
Phone
(239) 224-3159

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Hematology (Internal Medicine) Physician 207RH0000X
Medical Oncology Physician 207RX0202X Primary

Addresses

Primary practice location

8440 Murano del Lago Dr
Estero, FL 34135-8615

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other names 1

  • Florida Cancer Specialists PL 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
10D2203880Florida Cancer Specialists & Research Institute8440 Murano del Lago Dr, Estero, FL 34135AccreditationNov 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
FL Cancr Spec Rese Ins LLC77 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

8440 Murano del Lago Dr
Estero, FL 34135
Phone (239) 221-5402

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1669075891",
    "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": "8440 MURANO DEL LAGO DR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341358615",
            "telephone_number": "239-221-5402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-19",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "WILTSHIRE",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "239-224-3159"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Florida Cancer Specialists PL",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Florida Cancer Specialists PL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Estero, FL

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 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.