Integrated Community Oncology Network LLC

NPI #1952368656 in St Augustine, Florida

Provider Information

NPI Number
1952368656
Entity Type
Organization
Organization Name
Integrated Community Oncology Network LLC
Primary Specialty
Internal Medicine - Hematology & Oncology
Enumeration Date
Apr 27, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
300 HEALTH PARK BLVD
Address 2
SUITE 1006
State
Florida
ZIP Code
32086-3707
Phone
(904) 829-0443

Authorized Official

Name
MR. ROBERT J PHELAN
Title
EXECUTIVE DIRECTOR
Phone
(904) 363-2113

Specialties & Taxonomy Codes

Specialty
Internal Medicine - Hematology & OncologyHematology & Oncology

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