OrganizationActive
Florida Cancer Specialists & Research Institute, LLC
NPI 1124649710 · Medical Oncology Physician · Middleburg, FL
Provider details
- NPI number
- 1124649710
- Entity type
- Organization
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roxane Wiltshire, Credentialing Manager(239) 224-3159
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Hematology (Internal Medicine) Physician207RH0000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1658 St Vincents Way Ste 340
Middleburg, FL 32068-8431
Phone: (904) 269-6526
Fax: (904) 269-6527
Approximate (ZIP-level) locationGet directions
Mailing address
4371 Veronica S Shoemaker Blvd
Fort Myers, FL 33916-2216
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2020-05-05
- Certified
- 2020-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.