CANCER SPECIALISTS LLC


Address: 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409
Phone: 9047397779

CANCER SPECIALISTS LLC (NPI# 1215289723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215289723
Entity Type Organization
Organization Name CANCER SPECIALISTS LLC
Other Organization Name CANCER SPECIALISTS OF NORTH FLORIDA
Practice Address 4203 Belfort Rd
Suite 215
Jacksonville
FL 32216-1409
Mailing Address 7015 Ac Skinner Parkway
Suite 1
Jacksonville
FL 32256
Practice Telephone 9047397779
Practice Fax Number 9047397771
Mailing Telephone 9043632113
Mailing Fax Number 9045383672
Enumeration Date 2012-10-08
Last Update Date 2013-06-07
Authorized Official Name MR. ROBERT J PHELAN (CEO)
Authorized Official Telephone 9043632113
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies FL Suppliers
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 006337804 05

Other Provider/Organization Names

Other Name Type Code
CANCER SPECIALISTS OF NORTH FLORIDA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336607555 Cancer Specialists LLC Radiology 600 Vale Park Rd N Unit A, Valparaiso, IN 46383-2546 2019-03-06
1376895888 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 2012-10-08
1801148473 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 5742 Booth Rd, Suite A, Jacksonville, FL 32207-5982 2012-10-08
1033461546 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 1375 Roberts Dr, Suite 103, Jacksonville, FL 32250-3210 2012-10-08
1548512056 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 1235 San Marco Blvd, Suite 202, Jacksonville, FL 32207-8554 2012-10-08
1306198908 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 2 Shircliff Way, Suite 800, Jacksonville, FL 32204-4753 2012-10-05
1689925240 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 9 San Bartola Dr, St Augustine, FL 32086-5767 2012-09-24

Office Location

Street Address 4203 BELFORT RD
SUITE 215
City JACKSONVILLE
State FL
Zip Code 32216-1409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750364667 Christina Marie Longobucco Physical Therapist 4203 Belfort Rd, Jacksonville, FL 32216-1409 2005-11-23
1467087346 Kathryn Pitocchelli Dietitian, Registered 4203 Belfort Rd, Jacksonville, FL 32216-1409 2020-03-11
1003171463 Kathryn Elizabeth Melko Dietitian, Registered 4203 Belfort Rd, Suite 302, Jacksonville, FL 32216-1409 2012-07-11
1164742144 Nitika Malhotra Internal Medicine 4203 Belfort Rd, Suite 315, Jacksonville, FL 32216-1409 2010-06-01
1386887560 Angela Kathleen Stalvey Nurse Practitioner 4203 Belfort Rd, Suite 204, Jacksonville, FL 32216-1471 2009-04-17
1912163288 Monica Eve Major-harris Nurse Practitioner 4203 Belfort Rd, Suite 204, Jacksonville, FL 32216-1409 2008-08-05
1194983718 Andrea Pierce Moore Audiologist 4203 Belfort Rd, Suite 340, Jacksonville, FL 32216-1409 2008-05-30
1659576577 Integrated Community Oncology Network LLC Internal Medicine 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 2007-06-20
1811074495 Mary Joanne Schuh Audiologist 4203 Belfort Rd, Suite 340, Jacksonville, FL 32216-1409 2006-11-01
1669556072 St Vincents Medical Center Inc Clinical Medical Laboratory 4203 Belfort Rd, Suite 106, Jacksonville, FL 32216-1409 2006-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524925 Renee Cherie Titus Behavior Technician Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 2020-09-24
1811546575 First Coast Orthopedic Center, LLC Clinic/Center 4035 Southpoint Boulevard, Jacksonville, FL 32216 2019-09-05
1922578558 Fatima Hussain Crofton Optometrist 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 2018-11-27
1154802833 John-paul Pham Internal Medicine 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 2018-08-22
1790279479 Joseph Richard Kennedy Physician Assistant 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 2018-06-18
1801304357 Kelli M. Tyson Nurse Practitioner 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 2018-01-18
1376054809 Angela M Whittinghill Counselor 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 2017-10-24
1629508072 Zoryana Yufan Dentist 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 2017-06-19
1700318896 Christina Kaczmarek Behavior Technician 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 2017-03-29
1932640422 Loudine Racius Nurse Practitioner 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 2017-03-16
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760818959 Talha Badar Internal Medicine 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 2013-09-19
1952621237 Harvey B Sher Internal Medicine 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 2010-06-09
1548426703 Ewa M Wysokinska Internal Medicine 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 2008-08-06
1750598363 Sridhar Srinivasan Internal Medicine 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 2007-05-16
1891878146 Miten R Patel Internal Medicine 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 2006-10-23
1831122035 Shonda Michelle Asaad Internal Medicine 239 Station St, Jacksonville, NC 28546-6304 2006-07-09
1770535700 Sahana R Kalmadi Internal Medicine 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 2006-05-17
1902889959 Maria J Valente Internal Medicine 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 2005-11-23
1124017850 Lawrence Arthur Solberg Jr. Internal Medicine 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 2005-10-15
1922095884 Carlos M Castillo Internal Medicine 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 2005-10-05
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32216

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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