Organization Name: | CANCER SPECIALISTS LL |
NPI Number: | 1679824247 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT J PHELAN (CEO) |
Mailing Address: | 1715 Eagle Harbor Pkwy Suite C Fleming Island |
State: | FL US |
Postal Code: | 320034324 |
Phone Number: | 9042646201 |
Fax Number: | 9042646858 |
NPI Enumeration Date: | 09/24/2012 |
NPI Last Update Date: | 06/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |