Central Florida Cancer Institute Pa

LBN: Central Florida Cancer Institute Pa
Central Florida Cancer Institute Pa is an health care organization with primary practice located at 2 State Road 60 W , Lake Wales FL 33853-4118. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Central Florida Cancer Institute Pa can be contacted via phone (863) 679-2960, or through Martinez, George via phone (407) 566-9899.

Contact Information

Primary practice address
2 State Road 60 W Lake Wales FL 33853-4118
Phone: (863) 679-2960
Fax: (863) 679-2781
Website:
Map and Directions
Authorized official contact:
Name: Martinez, George
Phone: (407) 566-9899

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X ME51222 Florida

Profile Details

NPI number 1780923151
LBN Legal business name Central Florida Cancer Institute Pa
DBA Doing business as
Authorized official Martinez, George
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2013
Last updated Apr 18th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780923151 NPPES
Florida MEDICAID 263977700

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