Active NPI
South Florida Cancer Institute
- Surgical Oncology Physician
- Fort Lauderdale, FL
National Provider Identifier
1790287878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- Legal business name
- SOUTH FLORIDA CANCER INSTITUTE
- Practice address
- 1005 Marina Mile Blvd
Fort Lauderdale, FL 33315-2433 - Phone
- (954) 658-6439
- NPI assigned
- Mar 5, 2018
- 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
- Dr. Alia Abdulla, DO
- Title
- Medical Director
- Phone
- (954) 465-4693
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | |||
| Surgery Physician | 208600000X | |||
| Surgical Oncology Physician | 2086X0206X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1005 Marina Mile Blvd
Fort Lauderdale, FL 33315-2433
Mailing address
1005 Marina Mile Blvd
Fort Lauderdale, FL 33315-2433
Phone (954) 658-6439
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1790287878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MARINA MILE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152433",
"telephone_number": "954-658-6439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MARINA MILE BLVD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333152433",
"telephone_number": "954-658-6439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FLORIDA CANCER INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "ABDULLA",
"authorized_official_first_name": "ALIA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "954-465-4693",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Surgical Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
- South Broward Hospital District
- South Broward Hospital District
- South Broward Hospital District
- South FL Assisting LLC
- South Florida Anti-Aging & Aesthetics, LLC
- South Florida Center for Counseling and Therapy
- South Florida Drug & Alcohol Rehab
- South Florida Eye Associates, PA
- South Florida Injury Centers, Inc.
- South Florida Kidney Disease & Hypertension Specialists, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.