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INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI 1851388128


NPI Information

NPI: 1851388128
Provider Name: INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

Doing Business As: CANCER SPECIALISTS OF NORTH FLORIDA

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2 SHIRCLIFF WAY
SUITE 800
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 388-2619
Get Directions

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC is a hematology and oncology internal medicine in Jacksonville, FL. The provider is 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. INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI is 1851388128. The provider is registered as an organization entity type.
The provider Is Doing Business As Cancer Specialists Of North Florida.

The provider's business location address is:

2 SHIRCLIFF WAY
SUITE 800
JACKSONVILLE, FL
ZIP 32204-732
Phone: (904) 388-2619
Fax: (904) 388-0240

The provider's authorized official is Robert J Phelan .
The authorized official title is Ceo and has the following contact phone number (904) 363-2113.

The enumeration date for this NPI number is 10/3/2005 and was last updated on 5/24/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207RH0003XInternal MedicineHematology & OncologyFLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K7038DMEDICARE PINFLORIDA
294890OTHERFLORIDABCBS
3273427320MEDICAIDFLORIDA
45599740011MEDICARE NSCFLORIDA
5DC6938MEDICARE PINFLORIDA

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: 11/14/2023

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