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Integrated Community Oncology Network Llc
Durable Medical Equipment & Medical Supplies in St Augustine, Florida
NPI 1336136654

Integrated Community Oncology Network Llc is a Durable Medical Equipment & Medical Supplies based in Jacksonville, FL. Integrated Community Oncology Network Llc practices in St Augustine, FL. The NPI Number for Integrated Community Oncology Network Llc is 1336136654 and holds a License No. (Florida).

The current practice location address for Integrated Community Oncology Network Llc is 9 San Bartola Dr, St Augustine, FL and can be reached out via phone at 904-825-4500 and via fax at 904-825-3672.

Location: 9 San Bartola Dr, St Augustine, FL, 32256-1348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336136654
Provider Name
Integrated Community Oncology Network Llc
Credential
Provider Entity Type
Organization
Address
9 San Bartola Dr, St Augustine, FL, 32256-1348
Phone Number
904-825-4500
Fax Number
904-825-3672
Provider Enumeration Date
10/03/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
273427309 05 FL
94890 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
9 San Bartola Dr
City
St Augustine
State
Florida
Zip
32086-5767
Phone Number
904-825-4500
Fax Number
904-825-3672
person
Provider Business Mailing Address Details
Address
9 San Bartola Dr
City
St Augustine
State
Florida
Zip
32086-5767
Phone Number
904-825-4500
Fax Number
904-825-3672
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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