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Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Other names
Cancer Specialists of North Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J PHELAN (CEO)
(904) 363-7442
Entity
Organization
Contact information
Practice address
1689 EAGLE HARBOR PKWY, SUITE C, ORANGE PARK, FL 32003-4817
(904) 264-6201
(904) 264-6858
Mailing address
9143 PHILIPS HWY, SUITE 560, JACKSONVILLE, FL 32256-1348
(904) 363-2113
(904) 363-2606
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273427321
—
FL
01
—
94890
BCBS
FL
Enumeration date
06/21/2006
Last updated
05/24/2012
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