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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
NPI 1124649710
Internal Medicine - Medical Oncology in Middleburg, FL

Active since May 05, 2020CLIA Certified · 2 labs
1658 ST VINCENTS WAY STE 340, MIDDLEBURG, FL 32068(904) 269-6526(904) 269-6527 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Florida Cancer Specialists & Research Institute, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC (NPI 1124649710) is a healthcare organization registered as a medical oncology in Middleburg, Florida and active in the NPI registry since May 2020. The organization holds 2 active CLIA laboratory certificates and lists Roxane Cheryl Wiltshire, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1124649710
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameFLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Location Address1658 ST VINCENTS WAY STE 340Middleburg, FL 32068-8431
Mailing Address4371 Veronica S Shoemaker BlvdFort Myers, FL 33916-2216 · (239) 274-8200
Phone(904) 269-6526
Fax(904) 269-6527
Organization SubpartNo
Authorized OfficialRoxane Cheryl WiltshireCredentialing Manager · (239) 224-3159
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1124649710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
1658 ST VINCENTS WAY STE 340, Middleburg, FL 32068
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 10D2131342

Florida Cancer Specialists & Research Institute, LLC · Fleming Island, FL
Active · expires Jul 11, 2027
CLIA Number10D2131342
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2025
Certificate Expiration DateJuly 11, 2027
Laboratory DirectorDr. Jeffrey Bubis
Laboratory Phone(904) 269-6526
Laboratory LocationFlorida Cancer Specialists & Research Institute, LLC4689 Us Hwy 17 Suite 2-5, Fleming Island, FL 32003
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 10D2294244

Florida Cancer Specialists & Research Institute, LLC · St Johns, FL
Active · expires Nov 18, 2026
CLIA Number10D2294244
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorDr. Jeffrey Bubis
Laboratory Phone(904) 269-6526
Laboratory LocationFlorida Cancer Specialists & Research Institute, LLC105 Badger Park Dr #1-4, St Johns, FL 32259
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Cancer Specialists & Research Institute, LLC's NPI number?

The NPI number for Florida Cancer Specialists & Research Institute, LLC is 1124649710. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Florida Cancer Specialists & Research Institute, LLC located?

Florida Cancer Specialists & Research Institute, LLC is located at 1658 St Vincents Way Ste 340, Middleburg, FL 32068. The listed phone number is (904) 269-6526.

What is Florida Cancer Specialists & Research Institute, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Does Florida Cancer Specialists & Research Institute, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Florida Cancer Specialists & Research Institute, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Cancer Specialists & Research Institute, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Cancer Specialists & Research Institute, LLC was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.