Integrated Community Oncology Network LLC

NPI #1669469938 in Jacksonville, Florida

Provider Information

NPI Number
1669469938
Entity Type
Organization
Organization Name
Integrated Community Oncology Network LLC
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Oct 3, 2005
Last Updated
May 24, 2012

Practice Location

Address
5742 BOOTH RD
Address 2
SUITE A
State
Florida
ZIP Code
32207-5982
Phone
(904) 739-7779

Authorized Official

Name
MR. ROBERT PHELAN
Title
CEO
Phone
(904) 363-2113

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Internal Medicine - Hematology & OncologyHematology & Oncology

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