Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Other names
The Cyberknife Center at Central Florida Regional Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAM B PARYANI (DIRECTOR)
(904) 346-3338
Entity
Organization
Contact information
Practice address
200 N MANGOUSTINE AVE, SANFORD, FL 32771-1017
(407) 833-7518
(407) 833-7514
Mailing address
PO BOX 19675, JACKSONVILLE, FL 32245-9675
(904) 346-3338
(904) 346-0815
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94890
BCBS
FL
01
—
DC6938
MEDICARE RAILROAD
FL
Enumeration date
06/25/2007
Last updated
05/01/2008
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