INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI 1649574500

NPI Information

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC is an urology in Jacksonville, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI is 1649574500. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kasraeian Urology Divison Of Icon.

The provider's business location address is:

6269 BEACH BLVD
SUITE 2
JACKSONVILLE, FL
ZIP 32216-768
Phone: (904) 727-7955
Fax: (904) 727-7976

The provider's authorized official is Ahmad Kasraeian .
The authorized official title is Kasraeian Urology Division Manager and has the following contact phone number (904) 727-7955.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 6/15/2012.

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