PALM BEACH CANCER INSTITUTE LLC
NPI 1639114408
Internal Medicine - Hematology & Oncology in West Palm Beach, FL

Q: What is Palm Beach Cancer Institute LLC's NPI number?

The NPI number for Palm Beach Cancer Institute LLC is 1639114408. It was assigned to this organization in the NPPES registry on June 17, 2006.

Q: What is Palm Beach Cancer Institute LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since June 17, 2006

1309 N FLAGLER DR, WEST PALM BEACH, FL 33401(561) 366-4100(561) 366-4189 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Palm Beach Cancer Institute Llc NPPES

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

PALM BEACH CANCER INSTITUTE LLC (NPI 1639114408) is a healthcare organization registered as a hematology & oncology in West Palm Beach, Florida and active in the NPI registry since June 2006. The organization lists Lisa San Roman, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1639114408

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NamePALM BEACH CANCER INSTITUTE LLC

Location Address1309 N FLAGLER DRWest Palm Beach, FL 33401-3406

Mailing AddressPo Box 863310Orlando, FL 32886-3310 · (561) 366-4100 · Fax (561) 366-4189

Phone(561) 366-4100

Fax(561) 366-4189

Organization SubpartNo

Authorized OfficialLisa San RomanCredentialing Coordinator · (561) 366-4104

Enumeration DateJune 17, 2006

Last NPPES UpdateJanuary 21, 2010

✔ NPI 1639114408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1309 N FLAGLER DR, West Palm Beach, FL 33401

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Other Identifiers 7

Medicaid267990603FL

Medicare NSC5141880001FL

Medicaid267990600FL

Medicaid267990601FL

Medicaid267990602FL

Medicare PIN34754FL

Medicaid267990604FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

CARLA FAZIO APRN

Nurse Practitioner