Cancer Care Specialists Of North Florida

LBN: Integrated Community Oncology Network Llc
Cancer Care Specialists Of North Florida is an health care organization with primary practice located at 9 San Bartola Dr , St Augustine FL 32086-5767. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty. Integrated Community Oncology Network Llc can be contacted via phone (904) 825-4500, or through Phelan, Robert via phone (904) 363-2113.

Contact Information

Primary practice address
9 San Bartola Dr St Augustine FL 32086-5767
Phone: (904) 825-4500
Fax: (904) 825-3672
Website:
Map and Directions
Authorized official contact:
Name: Phelan, Robert
Phone: (904) 363-2113

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Florida

Profile Details

NPI number 1336136654
LBN Legal business name Integrated Community Oncology Network Llc
DBA Doing business as Cancer Care Specialists Of North Florida
Authorized official Phelan, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2005
Last updated May 24th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336136654 NPPES
Florida MEDICAID 273427309
Florida Other 94890

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