Organization Active NPI

Cancer Specialists LLC

Doing business as Cancer Specialists of North Florida

  • Hematology & Oncology Physician
  • Jacksonville, FL
National Provider Identifier
1376895888
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER SPECIALISTS LLC
Doing business as
Cancer Specialists of North Florida
Practice address
14546 Old Saint Augustine Rd
BLDG 1 Suite 317
Jacksonville, FL 32258-5468
Phone
(904) 260-9445
Fax
(904) 260-0005
NPI assigned
Oct 8, 2012
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert J Phelan
Title
Credentialing
Phone
(904) 363-2113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X FL Primary
Durable Medical Equipment & Medical Supplies 332B00000X FL

Addresses

Primary practice location

14546 Old Saint Augustine Rd
BLDG 1 Suite 317
Jacksonville, FL 32258-5468

Mailing address

7751 Belfort Pkwy Ste 350
Jacksonville, FL 32256-6951
Phone (904) 363-2113

Other identifiers 1

IdentifierTypeStateIssuer
006337806MedicaidFL

Other names 1

  • CANCER SPECIALISTS OF NORTH FLORIDA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1376895888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 BELFORT PKWY STE 350",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566951",
            "telephone_number": "904-363-2113",
            "fax_number": "904-538-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14546 OLD SAINT AUGUSTINE RD",
            "address_2": "BLDG 1 SUITE 317",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585468",
            "telephone_number": "904-260-9445",
            "fax_number": "904-260-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "PHELAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "904-363-2113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006337806",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANCER SPECIALISTS OF NORTH FLORIDA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.