Integrated Community Oncology Network Llc in Jacksonville - Radiation Oncology

Integrated Community Oncology Network Llc - NPI 1104859750

Integrated Community Oncology Network Llc is a Radiation Oncology in Jacksonville, Florida. Integrated Community Oncology Network Llc practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Integrated Community Oncology Network Llc is 1104859750. The last update date is 2015-01-21.

Integrated Community Oncology Network Llc's current location address is Po Box 19675, Jacksonville, Florida. You can contact this provider via phone number 9043098680 and fax number 9043455847. The mailing address for Integrated Community Oncology Network Llc is Po Box 19675, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Integrated Community Oncology Network Llc
Address Po Box 19675, Jacksonville, Florida
Phone Number 9043098680
Fax Number 9043455847
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Paryani B Shyam
Credentials MD
Telephone Number 9043098680

NPI Number Detail

NPI Number 1104859750
Provider Enumeration Date 2006-07-08
Last Updated Date 2015-01-21

Provider Mailing Address Detail

Address Po Box 19675
City Jacksonville
State Florida (FL)
Post Code 322459675
Phone Number 9043098680
Fax Number 9043455847

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
94890 FL BLUE CROSS BLUE SHIELD
273427314 FL --
DC6938 FL MEDICARE RAILROAD

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FAQs about Integrated Community Oncology Network Llc

What is the unique identifier code issued to Integrated Community Oncology Network Llc by the Centers for Medicare & Medicaid Services?

The Integrated Community Oncology Network Llc has been assigned the NPI (National Provider Identifier) 1104859750. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Integrated Community Oncology Network Llc is physically located?

The Integrated Community Oncology Network Llc is situated at the following address: Po Box 19675, Jacksonville, FL 322459675.

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

The Integrated Community Oncology Network Llc's specialized field of practice is Radiation Oncology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0001X.

On what date did the Integrated Community Oncology Network Llc receive its 1104859750 assignment from the Centers for Medicare & Medicaid Services?

The Integrated Community Oncology Network Llc was assigned its 1104859750 by the Centers for Medicare & Medicaid Services on 2006-07-08.

As of what date were the Integrated Community Oncology Network Llc's details last updated?

The information pertaining to the Integrated Community Oncology Network Llc, including its address, specialty, and other details, was most recently updated on 2015-01-21.

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