Cancer Specialists Of North Florida

LBN: Cancer Specialists Llc
Cancer Specialists Of North Florida is an health care organization with primary practice located at 14546 Old Saint Augustine Rd Bldg 1 Suite 317, Jacksonville FL 32258-5468. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Cancer Specialists Llc can be contacted via phone (904) 260-9445, or through Phelan, Robert J via phone (904) 363-2113.

Contact Information

Primary practice address
14546 Old Saint Augustine Rd Bldg 1 Suite 317 Jacksonville FL 32258-5468
Phone: (904) 260-9445
Fax: (904) 260-0005
Website:
Map and Directions
Authorized official contact:
Name: Phelan, Robert J
Phone: (904) 363-2113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X Florida
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1376895888
LBN Legal business name Cancer Specialists Llc
DBA Doing business as Cancer Specialists Of North Florida
Authorized official Phelan, Robert J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2012
Last updated Jul 6th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376895888 NPPES
Florida MEDICAID 006337806

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