CANCER SPECIALISTS LLC


Address: 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468
Phone: 9042609445

CANCER SPECIALISTS LLC (NPI# 1376895888) 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) 1376895888
Entity Type Organization
Organization Name CANCER SPECIALISTS LLC
Other Organization Name CANCER SPECIALISTS OF NORTH FLORIDA
Practice Address 14546 Old Saint Augustine Rd
Bldg 1 Suite 317
Jacksonville
FL 32258-5468
Mailing Address 7015 Ac Skinner Parkway
Suite 1
Jacksonville
FL 32256
Practice Telephone 9042609445
Practice Fax Number 9042600005
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 (CREDENTIALING)
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 006337806 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
1801148473 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 5742 Booth Rd, Suite A, Jacksonville, FL 32207-5982 2012-10-08
1215289723 Cancer Specialists LLC Durable Medical Equipment & Medical Supplies 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 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 14546 OLD SAINT AUGUSTINE RD
BLDG 1 SUITE 317
City JACKSONVILLE
State FL
Zip Code 32258-5468

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437154804 Kyle G Corbin Physical Therapist 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 2005-06-14
1881208593 Aaron Bailey Registered Nurse 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 2020-09-01
1801354675 Morgen Rachel Fletcher Physician Assistant 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 2019-03-11
1467988246 Fridah Kirimi Nurse Practitioner 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 2017-05-11
1275901878 Paul David Provenzano Physical Therapist 14546 Old Saint Augustine Rd, Jacksonville, FL 32258-5468 2015-09-14
1992188825 Julianne Bryce Physical Therapist 14546 Old Saint Augustine Rd, Suite 209, Jacksonville, FL 32258-5468 2015-07-09
1174954630 Ashley B Burton Social Worker 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 2013-12-10
1245591114 Amber Rose Schueler Whitehead Massage Therapist 14546 Old Saint Augustine Rd, Suite 403, Jacksonville, FL 32258-5468 2012-06-06
1790051845 Baptist Cardiology, Inc. Internal Medicine 14546 Old Saint Augustine Rd, Suite 103, Jacksonville, FL 32258-5468 2012-03-22
1497029870 Karen Heavner Nurse Practitioner 14546 Old Saint Augustine Rd, Suite 107, Jacksonville, FL 32258-5468 2012-03-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437794237 Nicoleta Descalzo Behavior Technician 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 2019-11-15
1992275572 William Lundgren Nurse Anesthetist, Certified Registered 3625 University Blvd South, Jacksonville, FL 32258 2018-11-27
1104301159 Emergency Physicians Inc Emergency Medicine 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 2018-09-26
1679092886 Palm Life Medical Associates Pa Assisted Living Facility 12494 Acosta Oaks Drive, Jacksonville, FL 32258 2017-09-19
1679013932 Optometry Vision Care Pllc Optometrist 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 2017-03-06
1467991950 North Florida Vision Group Inc Optometrist 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 2017-02-16
1124576566 Revolution Chiropractic LLC Chiropractor 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-14
1396291936 Robyn Reaves Nurse Practitioner 12361 Richards Glen Ct, Jacksonville, FL 32258 2016-09-01
1326595927 Lauren Cost Chiropractor 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 2016-09-01
1487991170 Mark Steven Colosimo Pharmacist 13820 Old St Augustine Road, Jacksonville, FL 32258 2013-01-15
Find all providers in zip 32258

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 32258

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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