INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC NPI 1922095207

NPI Information

NPI: 1922095207
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:
1235 SAN MARCO BLVD
SUITE 202
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 306-9229
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 1922095207. 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:

1235 SAN MARCO BLVD
SUITE 202
JACKSONVILLE, FL
ZIP 32207-554
Phone: (904) 306-9229
Fax: (904) 306-9239

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			FLORIDA	No
2	207RH0003X	Internal Medicine	Hematology & Oncology			Yes

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
1	K7038O	MEDICARE PIN	FLORIDA
2	273427313	MEDICAID	FLORIDA
3	5599740010	MEDICARE NSC	FLORIDA
4	DC6938	MEDICARE PIN	FLORIDA
5	94890	OTHER	FLORIDA	BCBS

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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