Integrated Community Oncology Network Llc in Jacksonville - Hematology & Oncology

Integrated Community Oncology Network Llc - NPI 1043365588

Integrated Community Oncology Network Llc is a Hematology & Oncology in Jacksonville, Florida. Integrated Community Oncology Network Llc practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Integrated Community Oncology Network Llc is 1043365588. The last update date is 2012-05-24.

Integrated Community Oncology Network Llc's current location address is 9143 Philips Hwy, Jacksonville, Florida. You can contact this provider via phone number 9043632113 and fax number 9045383672. The mailing address for Integrated Community Oncology Network Llc is 9143 Philips Hwy, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Integrated Community Oncology Network Llc
Address 9143 Philips Hwy, Jacksonville, Florida
Phone Number 9043632113
Fax Number 9045383672
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Phelan J Robert
Telephone Number 9043632113

NPI Number Detail

NPI Number 1043365588
Provider Enumeration Date 2007-01-24
Last Updated Date 2012-05-24

Provider Mailing Address Detail

Address 9143 Philips Hwy
City Jacksonville
State Florida (FL)
Post Code 322561348
Phone Number 9043632113
Fax Number 9045383672

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Definition:
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 ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
273427324 FL --
94890 FL BCBS

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FAQs about Integrated Community Oncology Network Llc

What is the unique provider identifier assigned to Integrated Community Oncology Network Llc?

The Integrated Community Oncology Network Llc has been issued the NPI (National Provider Identifier) 1043365588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Integrated Community Oncology Network Llc?

The Integrated Community Oncology Network Llc is physically situated at 9143 Philips Hwy, in the city of Jacksonville, state of FL, with the postal code 322561348.

What is Integrated Community Oncology Network Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Integrated Community Oncology Network Llc's area of specialization is Hematology & Oncology, and the corresponding taxonomy code that categorizes this field of practice is 207Rh0003X.

On what date did the Integrated Community Oncology Network Llc receive the assignment of its 1043365588 from the Centers for Medicare & Medicaid Services?

The Integrated Community Oncology Network Llc was issued its 1043365588 by the Centers for Medicare & Medicaid Services on 2007-01-24.

When was the information regarding Integrated Community Oncology Network Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Integrated Community Oncology Network Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-05-24.

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