Organization · Type 2 NPI

Integrated Community Oncology Network LLC

Hematology & Oncology Physician · St. Augustine, FL

NPI number 1326193764 Active

Practice location

9 San Bartola Dr
St. Augustine, FL 32086-5767

Call (904) 825-4500 Map

Mailing address

9143 Philips Hwy, Suite 560
Jacksonville, FL 32256-1348

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	None listed

Hematology & Oncology Physician: 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.

6 other providers at this address

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About NPI 1326193764

Integrated Community Oncology Network LLC's National Provider Identifier is 1326193764, issued on Jan 24, 2007. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in St. Augustine, FL. The record was last updated on May 24, 2012.