INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI 1760417042

NPI Information

  • NPI: 1760417042
  • Provider Name: INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Doing Business As: FLORIDA RADIATION ONCOLOGY GROUP
  • Address: 1375 ROBERTS DR
    SUITE 100
    JACKSONVILLE BEACH, FL
    ZIP 32250
  • Phone: (904) 242-0166

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NPI Details

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC is a radiation oncology radiology in Jacksonville Beach, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI is 1760417042. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Florida Radiation Oncology Group.

The provider's business location address is:

1375 ROBERTS DR
SUITE 100
JACKSONVILLE BEACH, FL
ZIP 32250-210
Phone: (904) 242-0166
Fax: (904) 242-0167

The provider's authorized official is Shyam B Paryani .
The authorized official title is Director and has the following contact phone number (904) 309-8680.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 1/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
194890OTHERFLORIDABLUE CROSS BLUE SHIELD
2DC6938OTHERFLORIDAMEDICARE RAILROAD
3K7038KMEDICARE PINFLORIDA
4273427305MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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