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FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
NPI 1730476391
Internal Medicine - Hematology & Oncology in Tavares, FL

Active since July 05, 2011CLIA 10D0682234 · Accreditation
4100 WATERMAN WAY, TAVARES, FL 32778(352) 343-1117(866) 445-2968 Get Directions Write a Review

NPPES record last updated: February 1, 2019. 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 1730476391), doing business as Florida Cancer Specialists P L, is a healthcare organization registered as a hematology & oncology in Tavares, Florida and active in the NPI registry since July 2011. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Lucio Navarro Gordan, Director, as its authorized official.

NPPES Registry Identity

NPI1730476391
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameFLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Location Address4100 WATERMAN WAYTavares, FL 32778-5270
Mailing Address4371 Veronica S Shoemaker Blvd, Attn: Credentialing DepartmentFort Myers, FL 33916-2216 · (239) 432-8341 · Fax (239) 278-3350
Phone(352) 343-1117
Fax(866) 445-2968
Organization SubpartNo
Authorized OfficialLucio Navarro GordanDirector · (239) 274-8200
Enumeration DateJuly 5, 2011
Last NPPES UpdateFebruary 1, 2019
✔ NPI 1730476391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
4100 WATERMAN WAY, Tavares, FL 32778
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Other Names 1

Former Legal Business NameFlorida Cancer Specialists P L

Other Identifiers 1

Medicaid254016951FL

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), Health First Commercial Plans, Inc. 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 10D0682234

Florida Cancer Specialists & Research Institute LLC · Tavares, FL
Active · expires Dec 22, 2027
CLIA Number10D0682234
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Ahmed Al Hazzouri
Laboratory Phone(352) 343-1117
Laboratory LocationFlorida Cancer Specialists & Research Institute LLC4100 Waterman Way, Tavares, FL 32778
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 4

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

ARYN PATRICE MULHOLLAND PA-C
Physician Assistant
4100 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 343-1117
DR. HAKAM KHAZRIK MD
Internal Medicine (Medical Oncology)
4100 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 343-1117
KIMBERLY CHRISTINA FERNANDEZ APRN
Nurse Practitioner
4100 WATERMAN WAY
TAVARES, FL 32778
Lake County (352) 343-1117
LAKE COUNTY ONCOLOGY AND HEMATOLOGY
Internal Medicine (Hematology & Oncology)
4100 WATERMAN WAY
TAVARES, FL 32778
Lake County (386) 774-5211

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 1730476391. It was assigned to this organization in the NPPES registry on July 5, 2011. 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 4100 Waterman Way, Tavares, FL 32778. The listed phone number is (352) 343-1117.

What is Florida Cancer Specialists & Research Institute, LLC's specialty?

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

Does Florida Cancer Specialists & Research Institute, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 10D0682234) 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), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida 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 February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.