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CANCER SPECIALISTS OF NF
NPI 1326193764
Internal Medicine - Hematology & Oncology in St Augustine, FL

Active since January 24, 2007CLIA 10D0978019 · Certificate of Compliance
9 SAN BARTOLA DR, ST AUGUSTINE, FL 32086(904) 825-4500 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 Nf NPPES

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

CANCER SPECIALISTS OF NF (NPI 1326193764) is a healthcare organization registered as a hematology & oncology in St Augustine, Florida and active in the NPI registry since January 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 30, 2026 and lists Robert J Phelan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1326193764
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameINTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Location Address9 SAN BARTOLA DRSt Augustine, FL 32086-5767
Mailing Address9143 Philips Hwy, Suite 560Jacksonville, FL 32256-1348 · (904) 363-7453 · Fax (904) 538-3672
Phone(904) 825-4500
Organization SubpartNo
Authorized OfficialRobert J PhelanExecutive Director · (904) 363-2113
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 24, 2012
✔ NPI 1326193764 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.
9 SAN BARTOLA DR, St Augustine, FL 32086
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Other Names 1

Doing Business AsCancer Specialists Of Nf

Other Identifiers 4

Medicare PINDC6938FL
Medicare PINK7038FL
Other94890FL · Bcbs
Medicaid273427322FL

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 10D0978019

Cancer Specialists LLC · Saint Augustine, FL
Active · expires Nov 30, 2026
CLIA Number10D0978019
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDr. Marc A. Warmuth
Laboratory Phone(904) 825-4500
Laboratory LocationCancer Specialists LLC121 Whitehall Drive, Saint Augustine, FL 32086
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 6

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

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-4500
ALYSA M GREGORY LCSW
Social Worker (Clinical)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-4500
CANCER SPECIALISTS LLC
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-4500
DR. DANIELE J MONTGOMERY MD
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-4500
BIRENDRA KC MD
Internal Medicine (Hematology & Oncology)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-4500
KRISTA LEE BARBER
Social Worker (Clinical)
9 SAN BARTOLA DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 825-4500

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 1326193764. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is doing business as Cancer Specialists Of Nf.

Where is Integrated Community Oncology Network LLC located?

Integrated Community Oncology Network LLC is located at 9 San Bartola Dr, St Augustine, FL 32086. The listed phone number is (904) 825-4500.

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 10D0978019) is associated with this NPI, valid through November 30, 2026. 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.