# CANCER SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cancer Specialists of North Florida
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598336976
- **Authorized official:** ROBERT J PHELAN (CEO)
- **Authorized official phone:** (904) 363-7442

## Contact information

- **Practice address:** 80 PINNACLES DR STE 700, PALM COAST, FL 32164-2915
- **Practice address phone:** (386) 387-8500
- **Practice address fax:** (386) 387-8511
- **Mailing address:** 7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
- **Mailing address phone:** (904) 363-2113
- **Mailing address fax:** (904) 363-2606

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2021
- **Last updated:** 07/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 006337821 | — | FL |
| 01 | — | GM089D | MEDICARE | FL |