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INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI 1871625087


NPI Information

NPI: 1871625087
Provider Name: INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC

Doing Business As: FLORIDA RADIATION ONCOLOGY GROUP

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
3599 UNIVERSITY BLVD S
BLD 100 STE 104
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 391-1100
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INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC is a radiation oncology radiology in Jacksonville, 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 1871625087. 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:

3599 UNIVERSITY BLVD S
BLD 100 STE 104
JACKSONVILLE, FL
ZIP 32216-252
Phone: (904) 391-1100
Fax: (904) 391-1109

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 3/12/2007 and was last updated on 7/31/2012.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1273427326MEDICAIDFLORIDA
294890OTHERFLORIDABCBS
3DC6938OTHERFLORIDARAILROAD MEDICARE
4K7038MEDICARE 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: 4/28/2024

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