Active NPI
Florida Cancer Specialists & Research Institute, LLC
- Hematology & Oncology Physician
- Clearwater, FL
National Provider Identifier
1952604696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
- Practice address
- 3280 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2029 - Phone
- (727) 216-1141
- Fax
- (727) 796-6159
- NPI assigned
- Dec 20, 2010
- 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
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | FL | ||
| Hematology & Oncology Physician | 207RH0003X | FL | Primary | |
| Medical Oncology Physician | 207RX0202X | FL |
Addresses
Primary practice location
3280 N McMullen Booth Rd
Suite 200
Clearwater, FL 33761-2029
Mailing address
PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2540169-37 | 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 |
|---|---|---|---|
| 10D1021594 | Florida Cancer Specialists & Research Institute, | Accreditation | Apr 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
3280 N McMullen Booth Rd
Ste 200
Clearwater, FL 33761
Phone (727) 216-1141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731369600000",
"number": "1952604696",
"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",
"fax_number": "239-278-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3280 N MCMULLEN BOOTH RD",
"address_2": "SUITE 200",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612029",
"telephone_number": "727-216-1141",
"fax_number": "727-796-6159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-20",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"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": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2540169-37",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Florida Cancer Specialists P L",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Clearwater, FL
- Reynell David Flores Morales, PHARMD
- Jesse H. Flores, M.D.
- Virgilio Floresca, MD
- Florida Autism Center
- Florida Cancer Specialists & Research Institute, LLC
- Florida Cardiovascular Surgeons Inc
- Florida Christian Counseling Services
- Florida Concerned Care, LLC
- Florida Dental Centers
- Florida Em-I Medical Services, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.