Organization
INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Active
Other names
ICON Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A MARSLAND M.D. (PRESIDENT)
(904) 276-2303
Entity
Organization
Contact information
Practice address
2161 KINGSLEY AVENUE, SUITE 200, ORANGE PARK, FL 32073
(904) 276-2303
(904) 276-3660
Mailing address
3599 UNIVERSITY BLVD S, SUITE 805, JACKSONVILLE, FL 32216
(904) 309-8680
(904) 345-5841
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273427307
—
FL
01
—
94870
BCBS
FL
Enumeration date
10/03/2005
Last updated
11/28/2012
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