Organization · Type 2 NPI

Integrated Community Oncology Network LLC

Urology Physician · Orange Park, FL

NPI number 1720310733 Active

Practice location

1715 Village Way
Orange Park, FL 32073-5263

Fax (904) 264-9692

Mailing address

9143 Philips Hwy Ste 560
Jacksonville, FL 32256-1369

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XME59868 (FL)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

7 other providers at this address

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About NPI 1720310733

Integrated Community Oncology Network LLC's National Provider Identifier is 1720310733, issued on Feb 2, 2010. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Orange Park, FL. The record was last updated on Feb 2, 2010.