Provider Demographics
NPI:1528211752
Name:ASSOCIATES IN CANCER CARE PA
Entity Type:Organization
Organization Name:ASSOCIATES IN CANCER CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANRAJSINH
Authorized Official - Middle Name:G
Authorized Official - Last Name:RANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-482-2288
Mailing Address - Street 1:13685 DOCTORS WAY
Mailing Address - Street 2:SUITE 140
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33912-4336
Mailing Address - Country:US
Mailing Address - Phone:239-482-2288
Mailing Address - Fax:
Practice Address - Street 1:13685 DOCTORS WAY
Practice Address - Street 2:SUITE 140
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-4336
Practice Address - Country:US
Practice Address - Phone:239-482-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME37410207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068158000Medicaid
FL068158000Medicaid