Integrated Community Oncology Network Llc

NPI 1023054921 - Internal Medicine - 207RH0003X

NPI Details
NPI 1023054921
Enumeration Date 06/21/2006
Last Updated 05/24/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ROBERT J ROBERT
Position CEO
Phone (904) 264-6201
Fax (904) 264-6858
Practice Location
1689 EAGLE HARBOR PKWY
SUITE C
ORANGE PARK FL, 32003-4817, US
Phone (904) 264-6201
Fax (904) 264-6858
Business Location
9143 PHILIPS HWY
SUITE 560
JACKSONVILLE FL, 32256-1348, US
Phone (904) 363-2113
Fax (904) 363-2606
Toxanomy
Taxonomy Code 207RH0003X
License State
License Number
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According to our database, Integrated Community Oncology Network Llc NPI is 1023054921, taxonomy code is 207RH0003X Integrated Community Oncology Network Llc physically located at 1689 Eagle Harbor Pkwy, Orange Park FL, 32003-4817. NPI Number 1033115704 has the healthcare provider type.

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1023054921 NPI number is provided on an as is basis without warranty of any kind. 1023054921 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Community Oncology Network Llc are for informational purposes only.