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Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Other names
St Augustine Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT J PHELAN (EXECUTIVE DIRECTOR)
(904) 363-2113
Entity
Organization
Contact information
Practice address
300 HEALTH PARK BLVD, SUITE 1006, ST AUGUSTINE, FL 32086-3707
(904) 829-0443
(904) 824-5797
Mailing address
9143 PHILIPS HWY, SUITE 560, JACKSONVILLE, FL 32256-1348
(904) 363-2113
(904) 363-2113
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
08/22/2020
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