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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
NPI 1508973231
Internal Medicine - Medical Oncology in Bradenton, FL

Active since August 25, 2006CLIA 10D0295217 · Accreditation
3630 MANATEE AVE W, BRADENTON, FL 34205(941) 792-1881(941) 795-3924 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Nov 18, 2021, Feb 4, 2019 (3 updates tracked since 2019).

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 1508973231), doing business as Florida Cancer Specialists P L, is a healthcare organization registered as a medical oncology in Bradenton, Florida and active in the NPI registry since August 2006. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Lucio Navarro Gordan, President/managing Partner, as its authorized official.

NPPES Registry Identity

NPI1508973231
Entity TypeOrganization
Primary Taxonomy207RX0202X
Legal Business NameFLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Location Address3630 MANATEE AVE WBradenton, FL 34205-2557
Mailing AddressPo Box 102222, Attn: Credential DepartmentAtlanta, GA 30368-2222 · (239) 274-8200 · Fax (239) 278-3350
Phone(941) 792-1881
Fax(941) 795-3924
Organization SubpartNo
Authorized OfficialLucio Navarro GordanPresident/managing Partner · (239) 274-8200
Enumeration DateAugust 25, 2006
Last NPPES UpdateMay 25, 20223 updates tracked since enumeration
NPPES CertifiedMay 25, 2022
✔ NPI 1508973231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X
3630 MANATEE AVE W, Bradenton, FL 34205
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Other Names 1

Former Legal Business NameFlorida Cancer Specialists P L

Other Identifiers 2

Medicaid254016911FL
OtherCN6270FL · Railroad Medicare

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

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 10D0295217

Florida Cancer Specialists & Research Institute LLC · Bradenton, FL
Active · expires Dec 22, 2027
CLIA Number10D0295217
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Ana Van Der Wall
Laboratory Phone(941) 792-1881
Laboratory LocationFlorida Cancer Specialists & Research Institute LLC3630 Manatee Ave W, Bradenton, FL 34205
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.

JAMIE LEE KOSHKO APRN
Nurse Practitioner (Family)
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881
DR. ANA MARIA VAN DER WALL MD
Internal Medicine (Medical Oncology)
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881
ALBIO MOLINA CARNESOLTAS APRN FNP-C
Nurse Practitioner
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881
CORRIE CROSS KILLINGSWORTH APRN
Nurse Practitioner
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881
FERNANDO SILVA
Nurse Practitioner
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881
DR. KOTESHWAR R TELUKUNTLA MD
Internal Medicine (Medical Oncology)
3630 MANATEE AVE W, STE B
BRADENTON, FL 34205
Manatee County (941) 792-1881
JEAN CRISTIAN VERDECIA APRN
Nurse Practitioner (Family)
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881
MS. JUSTINE LEE SOSCIA APRN
Nurse Practitioner (Acute Care)
3630 MANATEE AVE W
BRADENTON, FL 34205
Manatee County (941) 792-1881

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 1508973231. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider was formerly known as Florida Cancer Specialists P L.

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

Florida Cancer Specialists & Research Institute, LLC is located at 3630 Manatee Ave W, Bradenton, FL 34205. The listed phone number is (941) 792-1881.

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 Accreditation (number 10D0295217) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.