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 (CREDENTIALING)
(904) 363-2113
Entity
Organization
Contact information
Practice address
5742 BOOTH RD, SUITE A, JACKSONVILLE, FL 32207-5982
(904) 739-7779
(904) 739-7771
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
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006337801
—
FL
Enumeration date
10/08/2012
Last updated
07/06/2021
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