Active NPI
Florida Cancer Specialists & Research Institute, LLC
- Hematology & Oncology Physician
- Port Charlotte, 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
- 22395 Edgewater Dr
Port Charlotte, FL 33980-2012 - Phone
- (941) 766-7222
- Fax
- (941) 766-1146
- NPI assigned
- Aug 28, 2006
- Last updated
- Feb 4, 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
- Dr. Lucio Navarro Gordan, MD
- Title
- President/Managing Partner
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | NU | ||
| Hematology & Oncology Physician | 207RH0003X | NU | Primary | |
| Medical Oncology Physician | 207RX0202X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| Therapeutic Radiology Physician | 2085R0203X | NU |
Addresses
Primary practice location
22395 Edgewater Dr
Port Charlotte, FL 33980-2012
Mailing address
4371 Veronica S Shoemaker Blvd
Attn: Credential Dept
Fort Myers, FL 33916-2216
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 254016906 | 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 |
|---|---|---|---|
| 10D0919186 | Florida Cancer Specialists & Research Institute | Accreditation | Sep 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
22395 Edgewater Dr
Pt Charlotte, FL 33980
Phone (941) 766-7222
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": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549238400000",
"number": "1851409056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4371 VERONICA S SHOEMAKER BLVD",
"address_2": "ATTN: CREDENTIAL DEPT",
"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": "22395 EDGEWATER DR",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339802012",
"telephone_number": "941-766-7222",
"fax_number": "941-766-1146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2019-02-04",
"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.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254016906",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Cancer Specialists P L",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Port Charlotte, FL
- David Fleszar, D.O.
- Sherry Stiltner Fletcher, COTA
- Adelina Cortes Flores, M.D.
- Florida Best Care Inc. (Granny Nannies)
- Florida Cancer Physicians Network LLC (Charlotte Radiation Oncology Center)
- Florida Department of Health
- Florida Department of Veterans Affairs (Douglas Jacobson State Veterans Nursing Home)
- Florida Digestive Health Specialists (Gulf Comprehensive Gastroenterology, LLC)
- Florida Em-I Medical Services, PA
- Florida Emergency Dental Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.