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
70 TURIN TER STE 210, ST AUGUSTINE, FL 32092-0850
(904) 829-0443
(904) 824-5697
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006337820
—
FL
01
—
GM089A
MEDICARE
FL
Enumeration date
07/07/2021
Last updated
07/07/2021
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