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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