Icon Oncology

LBN: Integrated Community Oncology Network Llc
Icon Oncology is an health care organization with primary practice located at 2161 Kingsley Avenue Suite 200, Orange Park FL 32073. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Integrated Community Oncology Network Llc can be contacted via phone (904) 276-2303, or through Marsland, Thomas A via phone (904) 276-2303.

Contact Information

Primary practice address
2161 Kingsley Avenue Suite 200 Orange Park FL 32073
Phone: (904) 276-2303
Fax: (904) 276-3660
Website:
Map and Directions
Authorized official contact:
Name: Marsland, Thomas A Doctor of Medicine (MD)
Phone: (904) 276-2303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1821085101
LBN Legal business name Integrated Community Oncology Network Llc
DBA Doing business as Icon Oncology
Authorized official Marsland, Thomas A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 28th, 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 1821085101 NPPES
Florida Other 94870 BCBS
Florida MEDICAID 273427307 BCBS

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