Organization
CANCER SPECIALISTS, LLC
Active
Other names
Cancer Specialists of North Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J PHELAN RPH (CEO)
(904) 363-2113
Entity
Organization
Contact information
Practice address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 538-3672
Mailing address
7015 AC SKINNER PARKWAY, SUITE 1, JACKSONVILLE, FL 32256
(904) 363-2113
(904) 538-3672
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
FL
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
PH26314
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003FH
BCBS
FL
05
—
006337800
—
FL
01
—
DT0768
MEDICARE RAILROAD
FL
Enumeration date
07/09/2012
Last updated
07/06/2021
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