CANCER SPECIALISTS LLC – NPI #1306198908
Internal Medicine

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.

CANCER SPECIALISTS LLC is a provider located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1306198908 to CANCER SPECIALISTS LLC on October 05, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was last updated on Jun 12, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CANCER SPECIALISTS LLC below.

NPI Profile for
CANCER SPECIALISTS LLC

NPI Number
1306198908
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CANCER SPECIALISTS LLC
Primary location
2 SHIRCLIFF WAY
SUITE 800
JACKSONVILLE, FL 32204-4753
Phone: (904) 388-2619 Fax: (904) 388-0240
Mailing address
7751 BELFORT PKWY STE 350
JACKSONVILLE, FL 32256-6951
Phone: (904) 363-2113 Fax: (904) 538-3672
Organization Subpart
No
Authorized Official
ROBERT PHELAN
CEO
Phone: (904) 363-2113
Updated
Certification Date
Jun 12, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CANCER SPECIALISTS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidFL0063378707
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
FL
332B00000X
- Durable Medical Equipment & Medical Supplies
FL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.