Organization
CANCER SPECIALISTS LLC
Active
Other names
CANCER SPECIALISTS OF NORTH FLORIDA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J PHELAN (CEO)
(904) 363-2113
Entity
Organization
Contact information
Practice address
9 SAN BARTOLA DR, ST AUGUSTINE, FL 32086-5767
(904) 825-4500
(904) 528-3672
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-2113
(904) 538-3672
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006337803
—
FL
Enumeration date
09/24/2012
Last updated
06/12/2025
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