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Integrated Community Oncology Network Llc
Radiation Oncology Physician in St Augustine, Florida
NPI 1861427155

Integrated Community Oncology Network Llc is a Radiation Oncology Physician based in Jacksonville, FL and is specialized in Radiation Oncology. Integrated Community Oncology Network Llc practices in St Augustine, FL. The NPI Number for Integrated Community Oncology Network Llc is 1861427155 and holds a License No. (Florida).

The current practice location address for Integrated Community Oncology Network Llc is 300 Health Park Blvd, St Augustine, FL and can be reached out via phone at 904-824-5189 and via fax at 904-824-9109.

Location: 300 Health Park Blvd, St Augustine, FL, 32245-9675
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861427155
Provider Name
Integrated Community Oncology Network Llc
Credential
Provider Entity Type
Organization
Address
300 Health Park Blvd, St Augustine, FL, 32245-9675
Phone Number
904-824-5189
Fax Number
904-824-9109
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94890 01 FL BLUE CROSS BLUE SHIELD
273427311 05 FL
DC6938 01 FL MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
300 Health Park Blvd
City
St Augustine
State
Florida
Zip
32086-3707
Phone Number
904-824-5189
Fax Number
904-824-9109
person
Provider Business Mailing Address Details
Address
300 Health Park Blvd
City
St Augustine
State
Florida
Zip
32086-3707
Phone Number
904-824-5189
Fax Number
904-824-9109
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
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Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
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