Organization
CANCER SPECIALISTS, LLC
Active
Other names
Cancer Specialists of North Florida
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J PHELAN (CEO)
(904) 363-7442
Entity
Organization
Contact information
Practice address
121 WHITEHALL DRIVE, ST AUGUSTINE, FL 32086-5266
(904) 825-4500
(904) 825-3672
Mailing address
7751 BELFORT PKWY STE 350, JACKSONVILLE, FL 32256-6951
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GM089A
MEDICARE
FL
Enumeration date
07/21/2021
Last updated
06/12/2025
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