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Integrated Community Oncology Network Llc
Hematology & Oncology Physician in Orange Park, Florida
NPI 1023054921

Integrated Community Oncology Network Llc is a Hematology & Oncology Physician based in Jacksonville, FL and is specialized in Hematology & Oncology. Integrated Community Oncology Network Llc practices in Orange Park, FL. The NPI Number for Integrated Community Oncology Network Llc is 1023054921 and holds a License No. (Florida).

The current practice location address for Integrated Community Oncology Network Llc is 1689 Eagle Harbor Pkwy, Orange Park, FL and can be reached out via phone at 904-264-6201 and via fax at 904-264-6858.

Location: 1689 Eagle Harbor Pkwy, Orange Park, FL, 32256-1348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023054921
Provider Name
Integrated Community Oncology Network Llc
Credential
Provider Entity Type
Organization
Address
1689 Eagle Harbor Pkwy, Orange Park, FL, 32256-1348
Phone Number
904-264-6201
Fax Number
904-264-6858
Provider Enumeration Date
06/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94890 01 FL BCBS
273427321 05 FL
institution
Provider Business Practice Location Address Details
Address
1689 Eagle Harbor Pkwy
City
Orange Park
State
Florida
Zip
32003-4817
Phone Number
904-264-6201
Fax Number
904-264-6858
person
Provider Business Mailing Address Details
Address
1689 Eagle Harbor Pkwy
City
Orange Park
State
Florida
Zip
32003-4817
Phone Number
904-264-6201
Fax Number
904-264-6858
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
(Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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