Cancer Specialist Of North Florida

LBN: Integrated Community Oncology Network Llc
Cancer Specialist Of North Florida is an health care organization with primary practice located at 4203 Belfort Rd Suite 215, Jacksonville FL 32216-1409. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Integrated Community Oncology Network Llc can be contacted via phone (904) 739-7779, or through Phelan, Robert J via phone (904) 363-2113.

Contact Information

Primary practice address
4203 Belfort Rd Suite 215 Jacksonville FL 32216-1409
Fax: (904) 739-7771
Website:
Authorized official contact:
Name: Phelan, Robert J

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1659576577
LBN Legal business name Integrated Community Oncology Network Llc
DBA Doing business as Cancer Specialist Of North Florida
Authorized official Phelan, Robert J
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2007
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 1659576577 NPPES
Florida Other 94890 BCBS
Florida MEDICAID 273427325 BCBS

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