Organization · Type 2 NPI

Central Florida Cancer Institute PA

Multi-Specialty Clinic/Center · Lake Wales, FL

NPI number 1780923151 Active

Practice location

2 State Road 60 W
Lake Wales, FL 33853-4118

Fax (863) 679-2781

Mailing address

1420 Celebration Blvd, 308
Celebration, FL 34747-5159

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XME51222 (FL)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1780923151

Central Florida Cancer Institute PA's National Provider Identifier is 1780923151, issued on Feb 5, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Lake Wales, FL. The record was last updated on Apr 18, 2014.