Integrated Community Oncology Network LLC
NPI #1922095207 in Jacksonville, Florida
Provider Information
- NPI Number
- 1922095207
- 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
- 1235 SAN MARCO BLVD
- Address 2
- SUITE 202
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32207-8554
- Phone
- (904) 306-9229
Authorized Official
- Name
- MR. ROBERT J PHELAN
- Title
- CEO
- Phone
- (904) 363-2113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Internal Medicine - Hematology & Oncology — Hematology & Oncology |
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