Organization · Type 2 NPI

Integrated Community Oncology Network LLC

Hematology & Oncology Physician · Orange Park, FL

NPI number 1821085101 Active

Practice location

2161 Kingsley Avenue, Suite 200
Orange Park, FL 32073

Fax (904) 276-3660

Mailing address

3599 University Blvd S, Suite 805
Jacksonville, FL 32216

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.

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About NPI 1821085101

Integrated Community Oncology Network LLC's National Provider Identifier is 1821085101, issued on Oct 3, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Orange Park, FL. The record was last updated on Nov 28, 2012.