Integrated Community Oncology Network LLC
NPI #1023054921 in Orange Park, Florida
Provider Information
- NPI Number
- 1023054921
- Entity Type
- Organization
- Organization Name
- Integrated Community Oncology Network LLC
- Primary Specialty
- Internal Medicine - Hematology & Oncology
- Enumeration Date
- Jun 21, 2006
- Last Updated
- May 24, 2012
Practice Location
- Address
- 1689 EAGLE HARBOR PKWY
- Address 2
- SUITE C
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32003-4817
- Phone
- (904) 264-6201
Authorized Official
- Name
- MR. ROBERT J PHELAN
- Title
- CEO
- Phone
- (904) 363-7442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
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