Organization · Type 2 NPI

Florida Cancer Specialists & Research Institute, LLC

Hematology & Oncology Physician · Palm Coast, FL

NPI number 1972948784 Active

Practice location

61 Memorial Medical Pkwy, Suite 2812
Palm Coast, FL 32164-5981

Fax (386) 586-1861

Mailing address

4371 Veronica S Shoemaker Blvd, Attn: Credentialing Department
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.

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About NPI 1972948784

Florida Cancer Specialists & Research Institute, LLC's National Provider Identifier is 1972948784, issued on May 7, 2013. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Palm Coast, FL. The record was last updated on Feb 4, 2019.