CANCER SPECIALISTS LL


Address: 1715 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4324
Phone: 9042646201

CANCER SPECIALISTS LL (NPI# 1679824247) 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) 1679824247
Entity Type Organization
Organization Name CANCER SPECIALISTS LL
Other Organization Name CANCER SPECIALISTS OF NORTH FLORIDA
Practice Address 1715 Eagle Harbor Pkwy
Suite C
Fleming Island
FL 32003-4324
Mailing Address 7015 Ac Skinner Parkway
Suite 1
Jacksonville
FL 32256
Practice Telephone 9042646201
Practice Fax Number 9042646858
Mailing Telephone 9043632113
Mailing Fax Number 9045383672
Enumeration Date 2012-09-24
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 006337805 05

Other Provider/Organization Names

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

Office Location

Street Address 1715 EAGLE HARBOR PKWY
SUITE C
City FLEMING ISLAND
State FL
Zip Code 32003-4324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912953290 North Florida Surgeons P. A. Surgery 1715 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4324 2006-05-26
1184977225 Physicians Group Services Pa Orthopaedic Surgery 1715 Eagle Harbor Pkwy, Suite B, Fleming Island, FL 32003-4324 2012-10-25
1477703031 Waseet Z Vance Radiology 1715 Eagle Harbor Pkwy, Suite C, Fleming Island, FL 32003-4324 2008-09-19
1699922781 Jose A Baez Lorenzo Orthopaedic Surgery 1715 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4324 2008-08-20
1972799534 Richard D Curtis M.d., P.a. Orthopaedic Surgery 1715 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4323 2007-09-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649758012 Pruitthealth - Fleming Island, LLC Skilled Nursing Facility 2040 Town Center Boulevard, Fleming Island, FL 32003 2018-07-30
1841733904 Linda Giacobbe Community/Behavioral Health 4609 Hwy 17, Suite 1, Fleming Island, FL 32003 2016-11-22
1538515796 Kelly Standish Dentist 1700 Eagle Harbor Parkway East, Orange Park, FL 32003 2016-05-06
1396119301 Emily Benn Physical Therapist 4689 Hwy 17, Suite 11, Fleming Island, FL 32003 2015-11-16
1467834929 Sherrye Frady Nurse Practitioner 1915 East West Pkwy #2, Fleming Island, FL 32003 2015-06-22
1023497658 Musa Medical Supplies Durable Medical Equipment & Medical Supplies 1915 Eastwest Parkway, Fleming Island, FL 32003 2015-05-28
1093125676 Stephen Gibbs Orthopaedic Surgery 4689 Highway 17, Suite 11, Fleming Island, FL 32003 2014-05-05
1033555198 Lillie Elaine Switanek Social Worker 1 743 Cr 220, Fleming Island, FL 32003 2013-05-16
1003188475 Comfortable Care Dental Health Professionals Dentist 1647 Country Road 220, Suite 101, Fleming Island, FL 32003 2012-02-01
1285901488 Lynzie Lane Cammilleri Pharmacist 1565 Doctor's Inlet, Orange Park, FL 32003 2011-11-17
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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
1053316190 Mehdi M Moezi Internal Medicine 2370 Market Dr, Fleming Island, FL 32003-4326 2005-06-16
1801891288 Jeffrey A Bubis Internal Medicine 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003-4831 2005-06-14
1558796151 Integrated Community Oncology Network LLC Internal Medicine 1677 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4802 2013-09-13
1790756450 Elizabeth C. Kent Internal Medicine 4689 Us Highway 17 Ste 2-5, Fleming Island, FL 32003-4831 2006-01-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194343210 Jayaben Patel Internal Medicine 11818 Shire Wycliffe Ct, Tampa, FL 33626-3329 2020-07-07
1922628833 Heme Onc Call, LLC Internal Medicine 5825 Sw 117th St, Pinecrest, FL 33156-5007 2020-04-21
1457851552 Yvette M Herrington Internal Medicine 425 S Parsons Ave Ste 101, Brandon, FL 33511-5290 2018-02-15
1104360221 Mid Florida Hematology and Oncology Centers Pa Internal Medicine 658 Oviedo Medical Drive, Oviedo, FL 32765 2016-12-08
1225424369 Florence Arnold Internal Medicine 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 2015-04-15
1073901187 Edward Mcaloon Internal Medicine 108 Homeport Dr, Palm Harbor, FL 34683-5409 2014-12-26
1063818235 Barry M. Krein Internal Medicine 4220 Careywood Dr, Melbourne, FL 32934-7679 2014-11-14
1912311630 David Longacre Internal Medicine 2439 Weymouth Dr, Clearwater, FL 33764-6556 2014-06-20
1508270778 Gerard Chaaya Internal Medicine 4306 Alton Rd Fl 3, Miami Beach, FL 33140-2840 2014-06-16
1982026670 Mid Florida Hematology and Oncology Centers Pa Internal Medicine 2100 W 1st St, Sanford, FL 32771-1603 2014-01-14
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Competitor

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City FLEMING ISLAND
Zip Code 32003

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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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