Organization · Type 2 NPI

Florida Cancer Specialists & Research Institute, LLC

Hematology & Oncology Physician · Lake Wales, FL

NPI number 1962854257 Active

Practice location

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

Fax (863) 679-9005

Mailing address

4371 Veronica S Shoemaker Blvd, Attn Credentialing
Fort Myers, FL 33916-2216

Specialties and licenses

TaxonomyCodeLicense
Hematology (Internal Medicine) Physician 207RH0000XNone listed
Hematology & Oncology Physician Primary 207RH0003XNone listed
Medical Oncology Physician 207RX0202XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Another provider at this address

About NPI 1962854257

Florida Cancer Specialists & Research Institute, LLC's National Provider Identifier is 1962854257, issued on Jul 11, 2016. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lake Wales, FL. The record was last updated on Feb 4, 2019.