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CENTRAL FLORIDA CANCER INSTITUTE PA
NPI 1780923151
Clinic/Center - Multi-Specialty in Lake Wales, FL

Active since February 05, 2013CLIA Certified · 2 labs
2 STATE ROAD 60 W, LAKE WALES, FL 33853(863) 679-2960(863) 679-2781 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 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 1780923151) is a healthcare organization registered as a multi-specialty in Lake Wales, Florida and active in the NPI registry since February 2013. The organization holds 2 active CLIA laboratory certificates and lists George Martinez, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780923151
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameCENTRAL FLORIDA CANCER INSTITUTE PA
Location Address2 STATE ROAD 60 WLake Wales, FL 33853-4118
Mailing Address1420 Celebration Blvd, 308Celebration, FL 34747-5159 · (407) 566-9899 · Fax (407) 566-9893
Phone(863) 679-2960
Fax(863) 679-2781
Organization SubpartNo
Authorized OfficialGeorge MartinezCfo · (407) 566-9899
Enumeration DateFebruary 5, 2013
Last NPPES UpdateApril 18, 2014
✔ NPI 1780923151 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
2 STATE ROAD 60 W, Lake Wales, FL 33853
Open in Google Maps ↗

Other Identifiers 2

Medicare PINK1475FL
Medicaid263977700FL

CLIA Laboratory Certificates CMS CLIA 2

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 10D2091706

Central Florida Cancer Institute · Lake Wales, FL
Active · expires Feb 17, 2027
CLIA Number10D2091706
Laboratory TypePhysician Office
Certificate Effective DateFebruary 18, 2025
Certificate Expiration DateFebruary 17, 2027
Laboratory DirectorRandy V. Heysek
Laboratory Phone(863) 679-2960
Laboratory LocationCentral Florida Cancer Institute2 Sr 60 W, Lake Wales, FL 33853
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D1092656

Central Florida Cancer Institute · Lake Wales, FL
Active · expires Dec 1, 2026
CLIA Number10D1092656
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorRandy V. Heysek
Laboratory Phone(863) 679-2960
Laboratory LocationCentral Florida Cancer Institute22 Sr 60 W, Lake Wales, FL 33853
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FLORIDA CANCER SPECIALISTS & RESEARCH INSTITUTE, LLC
Internal Medicine (Hematology & Oncology)
2 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 679-9000

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 1780923151. 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 2 State Road 60 W, Lake Wales, FL 33853. The listed phone number is (863) 679-2960.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Central Florida Cancer Institute PA was last updated on April 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.