<Unavail>

LBN: Integrated Community Oncology Network Llc
<Unavail> is an health care organization with primary practice located at 1689 Eagle Harbor Pkwy Suite C, Orange Park FL 32003-4817. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Integrated Community Oncology Network Llc can be contacted via phone (904) 264-6201, or through Phelan, Robert J via phone (904) 363-7442.

Contact Information

Primary practice address
1689 Eagle Harbor Pkwy Suite C Orange Park FL 32003-4817
Phone: (904) 264-6201
Fax: (904) 264-6858
Website:
Map and Directions
Authorized official contact:
Name: Phelan, Robert J
Phone: (904) 363-7442

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X Florida

Profile Details

NPI number 1023054921
LBN Legal business name Integrated Community Oncology Network Llc
DBA Doing business as <Unavail>
Authorized official Phelan, Robert J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated May 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023054921 NPPES
Florida Other 94890 BCBS
Florida MEDICAID 273427321 BCBS

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