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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