Kasraeian Urology Divison Of Icon

LBN: Integrated Community Oncology Network Llc
Kasraeian Urology Divison Of Icon is an health care organization with primary practice located at 6269 Beach Blvd Suite 2, Jacksonville FL 32216-2768. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Integrated Community Oncology Network Llc can be contacted via phone (904) 727-7955, or through Kasraeian, Ahmad via phone (904) 727-7955.

Contact Information

Primary practice address
6269 Beach Blvd Suite 2 Jacksonville FL 32216-2768
Phone: (904) 727-7955
Fax: (904) 727-7976
Website:
Map and Directions
Authorized official contact:
Name: Kasraeian, Ahmad Doctor of Medicine (MD)
Phone: (904) 727-7955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1649574500
LBN Legal business name Integrated Community Oncology Network Llc
DBA Doing business as Kasraeian Urology Divison Of Icon
Authorized official Kasraeian, Ahmad Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2011
Last updated Jun 15th, 2012 - about 13 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 1649574500 NPPES
Florida MEDICAID 273427300

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