FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
NPI 1295023372
Internal Medicine - Medical Oncology in Orange City, FL

Q: 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.

Active since July 11, 2011CLIA 10D1034089 · Accreditation

2824 ENTERPRISE RD, ORANGE CITY, FL 32763(386) 774-7411(386) 774-7412 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2023, Feb 1, 2019 (2 updates tracked since 2019).

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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 1295023372), doing business as Florida Cancer Specialists P L, is a healthcare organization registered as a medical oncology in Orange City, Florida and active in the NPI registry since July 2011. The organization holds an CLIA Accreditation certificate valid through May 17, 2028, maintains a secondary practice location in Orange City, and lists Lucio Navarro Gordan, President, as its authorized official.

NPPES Registry Identity

NPI1295023372

Entity TypeOrganization

Primary Taxonomy207RX0202X

Legal Business NameFLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC

Location Address2824 ENTERPRISE RDOrange City, FL 32763-8428

Mailing AddressPo Box 102222, Attn: Credentialing DepartmentAtlanta, GA 30368-2222 · (239) 274-8200 · Fax (239) 278-3350

Phone(386) 774-7411

Fax(386) 774-7412

Organization SubpartNo

Authorized OfficialLucio Navarro GordanPresident · (239) 274-8200

Enumeration DateJuly 11, 2011

Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2023

✔ NPI 1295023372 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

2824 ENTERPRISE RD, Orange City, FL 32763

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Other Names 1

Former Legal Business NameFlorida Cancer Specialists P L

Secondary Practice Location 1

Location 1765 Image WayOrange City, FL 32763-8399 · Phone (386) 774-7411 · Fax (386) 668-6173

Other Identifiers 1

Medicaid2540169-45FL

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), Florida Health Care Plans and more.Insurance ›

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 Accreditation 10D1034089

Florida Cancer Specialists & Research Institute, LLC · Orange City, FL

Active · expires May 17, 2028

CLIA Number10D1034089

Laboratory TypePhysician Office

Certificate Effective DateMay 18, 2026

Certificate Expiration DateMay 17, 2028

Laboratory DirectorDr. Shemin Gupta

Laboratory Phone(386) 774-7411

Laboratory LocationFlorida Cancer Specialists & Research Institute, LLC2824 Enterprise Rd, Orange City, FL 32763

CLIA data matches this NPI record on: Address 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.

Other Providers at the Same Location NPPES 11

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

JENNIFER WYLE MERENS LEAKE APRN

Nurse Practitioner (Family)