Organization · Type 2 NPI

Integrated Community Oncology Network LLC

Hematology & Oncology Physician · St. Augustine, FL

NPI number 1952368656 Active

Practice location

300 Health Park Blvd, Suite 1006
St. Augustine, FL 32086-3707

Call (904) 829-0443 Map

Fax (904) 824-5797

Mailing address

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

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.

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About NPI 1952368656

Integrated Community Oncology Network LLC's National Provider Identifier is 1952368656, issued on Apr 27, 2006. 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 Aug 22, 2020.