1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Internal Medicine
  6. NPI Profile

CANCER SPECIALISTS OF NORTH FLORIDA
NPI 1023054921
Internal Medicine - Hematology & Oncology in Orange Park, FL

Active since June 21, 2006CLIA 10D2009361 · Certificate of Compliance
1689 EAGLE HARBOR PKWY, SUITE C, ORANGE PARK, FL 32003(904) 264-6201(904) 264-6858 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Cancer Specialists Of North Florida NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANCER SPECIALISTS OF NORTH FLORIDA (NPI 1023054921) is a healthcare organization registered as a hematology & oncology in Orange Park, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 13, 2027 and lists Robert J Phelan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023054921
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameINTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Location Address1689 EAGLE HARBOR PKWY, SUITE COrange Park, FL 32003-4817
Mailing Address9143 Philips Hwy, Suite 560Jacksonville, FL 32256-1348 · (904) 363-2113 · Fax (904) 363-2606
Phone(904) 264-6201
Fax(904) 264-6858
Organization SubpartNo
Authorized OfficialRobert J PhelanCeo · (904) 363-7442
Enumeration DateJune 21, 2006
Last NPPES UpdateMay 24, 2012
✔ NPI 1023054921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
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.
1689 EAGLE HARBOR PKWY, Orange Park, FL 32003
Open in Google Maps ↗

Other Names 1

Doing Business AsCancer Specialists Of North Florida

Other Identifiers 4

Medicare PINK7038H
Medicare PINDC6938FL
Other94890FL · Bcbs
Medicaid273427321FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2009361

Cancer Specialists LLC · Fleming Island, FL
Active · expires Jan 13, 2027
CLIA Number10D2009361
Laboratory TypePhysician Office
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorDr. Mehdi M. Moezi
Laboratory Phone(904) 264-6201
Laboratory LocationCancer Specialists LLC2370 Market Dr, Fleming Island, FL 32003
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY CHRISTINE POWELL APRN
Nurse Practitioner (Family)
1689 EAGLE HARBOR PKWY
FLEMING ISLAND, FL 32003
Duval County (904) 269-1366
MRS. WENDY LEA HEALY MOTR/L
Occupational Therapist
1689 EAGLE HARBOR PKWY, STE D
ORANGE PARK, FL 32003
Duval County (904) 637-0148
PHYSICIANS HEARING CARE
Hearing Aid Equipment
1689 EAGLE HARBOR PKWY, SUITE B
ORANGE PARK, FL 32003
Duval County (904) 637-0990
PULMONARY AND CRITICAL CARE ASSOCIATES P A
Internal Medicine (Pulmonary Disease)
1689 EAGLE HARBOR PKWY, SUITE B
ORANGE PARK, FL 32003
Duval County (904) 276-2044
JENNIFER SKIDMORE OT
Occupational Therapist
1689 EAGLE HARBOR PKWY, SUITE D
ORANGE PARK, FL 32003
Duval County (904) 637-0148

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Community Oncology Network LLC's NPI number?

The NPI number for Integrated Community Oncology Network LLC is 1023054921. It was assigned to this organization in the NPPES registry on June 21, 2006. The provider is doing business as Cancer Specialists Of North Florida.

Where is Integrated Community Oncology Network LLC located?

Integrated Community Oncology Network LLC is located at 1689 Eagle Harbor Pkwy Suite C, Orange Park, FL 32003. The listed phone number is (904) 264-6201.

What is Integrated Community Oncology Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does Integrated Community Oncology Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2009361) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Community Oncology Network LLC was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.