1. Home
  2. Directory
  3. Florida
  4. Davenport
  5. Clinic Center
  6. NPI Profile

CENTRAL FLORIDA CANCER INSTITUTE PA
NPI 1235478603
Clinic/Center - Multi-Specialty in Davenport, FL

Active since February 05, 2013CLIA 10D2091707 · Waiver
40107 HIGHWAY 27, DAVENPORT, FL 33837(863) 419-0692(863) 419-1695 Get Directions Write a Review

NPPES record last updated: December 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Central Florida Cancer Institute Pa NPPES

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

CENTRAL FLORIDA CANCER INSTITUTE PA (NPI 1235478603) is a healthcare organization registered as a multi-specialty in Davenport, Florida and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through February 17, 2027 and lists Randy Heysek, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235478603
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRAL FLORIDA CANCER INSTITUTE PA
Location Address40107 HIGHWAY 27Davenport, FL 33837-5901
Mailing Address1420 Celebration BlvdCelebration, FL 34747-5159 · (407) 566-9899 · Fax (407) 566-9899
Phone(863) 419-0692
Fax(863) 419-1695
Organization SubpartNo
Authorized OfficialRandy HeysekCfo · (407) 566-9899
Enumeration DateFebruary 5, 2013
Last NPPES UpdateDecember 23, 2022
NPPES CertifiedDecember 23, 2022
✔ NPI 1235478603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in FL · ME51222
40107 HIGHWAY 27, Davenport, FL 33837
Open in Google Maps ↗

Other Identifiers 1

Medicaid263977700FL

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 10D2091707

Central Florida Cancer Institute · Davenport, FL
Active · expires Feb 17, 2027
CLIA Number10D2091707
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorRandy V. Heysek
Laboratory Phone(863) 419-0692
Laboratory LocationCentral Florida Cancer Institute40107 Hwy 27, Davenport, FL 33837
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

AUGUSTO FAJARDO APRN
Nurse Practitioner (Family)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 420-8384
RADIOLOGY & IMAGING SPECIALISTS OF LAKELAND
Radiology (Diagnostic Radiology)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 687-1100
RADIOLOGY & IMAGING SPECIALISTS
Radiology (Diagnostic Radiology)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 687-1100
FLORIDA VEIN CARE SPECIALISTS LLC
Surgery (Vascular Surgery)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 701-4808
MICHAEL DAVID SMITH M.D.
Radiology (Radiation Oncology)
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (863) 419-0692
CLETUS ROY GEORGES MD
Urology
40107 HIGHWAY 27
DAVENPORT, FL 33837
Polk County (407) 599-9899

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 Central Florida Cancer Institute PA's NPI number?

The NPI number for Central Florida Cancer Institute PA is 1235478603. It was assigned to this organization in the NPPES registry on February 5, 2013.

Where is Central Florida Cancer Institute PA located?

Central Florida Cancer Institute PA is located at 40107 Highway 27, Davenport, FL 33837. The listed phone number is (863) 419-0692.

What is Central Florida Cancer Institute PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Central Florida Cancer Institute PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2091707) is associated with this NPI, valid through February 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Florida Cancer Institute PA was last updated on December 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.