Active NPI
Florida Cancer Specialists & Research Institute, LLC
- Hematology & Oncology Physician
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
- Practice address
- 1615 Pasadena Ave S
Suite 400
St. Petersburg, FL 33707-4505 - Phone
- (727) 341-1316
- Fax
- (727) 345-4000
- NPI assigned
- Dec 29, 2010
- Last updated
- Feb 1, 2019
- 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 | |||
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Medical Oncology Physician | 207RX0202X |
Addresses
Primary practice location
1615 Pasadena Ave S
Suite 400
St. Petersburg, FL 33707-4505
Mailing address
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2540169-39 | 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 |
|---|---|---|---|
| 10D0943457 | Florida Cancer Specialists & Research Institute | Accreditation | May 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
1615 Pasadena Ave S
Ste 400
South Pasadena, FL 33707
Phone (727) 341-1316
Practitioners & 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": "1293580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548979200000",
"number": "1811291289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339162216",
"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": "1615 PASADENA AVE S",
"address_2": "SUITE 400",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337074505",
"telephone_number": "727-341-1316",
"fax_number": "727-345-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-29",
"last_updated": "2019-02-01",
"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": "",
"desc": "Internal Medicine, Hematology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2540169-39",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Cancer Specialists P L",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in St Petersburg, FL
- Elena Flores
- Florida Advocacy Group, LLC
- Florida Blood Services
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cancer Specialists P L
- Florida Cancer Specialists P L
- Florida Cardiac Therapeutics, Inc
- Florida Center for Neurology, Inc
- Florida Chest Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.