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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
NPI 1215894415
Internal Medicine - Medical Oncology in Crestview, FL

Active since January 08, 2026CLIA 10D2344250 · Waiver
601 REDSTONE AVE W, CRESTVIEW, FL 32536(239) 432-8500 Get Directions Write a Review

NPPES record last updated: January 8, 2026. 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 1215894415) is a healthcare organization registered as a medical oncology in Crestview, Florida and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Cara Cohen, Director Medical Staff Office, as its authorized official.

NPPES Registry Identity

NPI1215894415
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameFLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Location Address601 REDSTONE AVE WCrestview, FL 32536-6439
Mailing AddressPo Box 102222Atlanta, GA 30368-2222
Phone(239) 432-8500
Organization SubpartNo
Authorized OfficialCara CohenDirector Medical Staff Office · (239) 432-8500
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1215894415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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 Medicine · HematologyTaxonomy 207RH0000X
601 REDSTONE AVE W, Crestview, FL 32536
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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

CLIA Laboratory Certificates CMS CLIA

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 Waiver 10D2344250

Florida Cancer Specialists & Research Institute LLC · Crestview, FL
Active · expires May 19, 2028
CLIA Number10D2344250
Laboratory TypePhysician Office
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorBrenda Smudde
Laboratory Phone(850) 201-2420
Laboratory LocationFlorida Cancer Specialists & Research Institute LLC601 Redstone Ave W Ste 200, Crestview, FL 32536
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ESSAM YACOUB MALATY MD
Internal Medicine (Hematology & Oncology)
601 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 683-0003
DR. ROBERT KENNETH OLDHAM MD
Internal Medicine (Medical Oncology)
601 REDSTONE AVE W
CRESTVIEW, FL 32536
Okaloosa County (850) 683-0003

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 1215894415. It was assigned to this organization in the NPPES registry on January 8, 2026.

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

Florida Cancer Specialists & Research Institute, LLC is located at 601 Redstone Ave W, Crestview, FL 32536. The listed phone number is (239) 432-8500.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2344250) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florida Cancer Specialists & Research Institute, LLC was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.