Organization · Type 2 NPI

Integrated Community Oncology Network LLC

Hematology & Oncology Physician · Jacksonville, FL

NPI number 1669469938 Active

Practice location

5742 Booth Rd, Suite A
Jacksonville, FL 32207-5982

Call (904) 739-7779 Map

Fax (904) 739-7771

Mailing address

9143 Philips Hwy
Jacksonville, FL 32256-1348

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone 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.

7 other providers at this address

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About NPI 1669469938

Integrated Community Oncology Network LLC's National Provider Identifier is 1669469938, issued on Oct 3, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Jacksonville, FL. The record was last updated on May 24, 2012.