Organization · Type 2 NPI

Integrated Community Oncology Network LLC

Hematology & Oncology Physician · Fleming Island, FL

NPI number 1558796151 Active

Practice location

1677 Eagle Harbor Pkwy, Suite A
Fleming Island, FL 32003-4802

Fax (904) 264-0009

Mailing address

3599 University Blvd S, Suite 907
Jacksonville, FL 32216-4252

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone 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.

3 other providers at this address

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About NPI 1558796151

Integrated Community Oncology Network LLC's National Provider Identifier is 1558796151, issued on Sep 13, 2013. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Fleming Island, FL. The record was last updated on Sep 13, 2013.