CANCER SPECIALISTS LLC – NPI #1417669003
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Health Care Provider Taxonomy Code for Radiology

CANCER SPECIALISTS LLC is a radiologist located in JACKSONVILLE, FL. NPPES has assigned the NPI number 1417669003 to CANCER SPECIALISTS LLC on December 15, 2022. 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 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation 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
1417669003
Enumeration Date

(more than 3 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
MARY VIRGINIA TERRY CANCER CENTER
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) 363-2606
Organization Subpart
No
Authorized Official
MELISSA ARNOLD
CREDENTIALING
Phone: (904) 363-7453
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.

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
2085R0001X
- Radiology / Radiation Oncology (Primary)
207RH0003X
- Internal Medicine / Hematology & Oncology

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.