Icon Oncology
LBN: Integrated Community Oncology Network Llc
Icon Oncology is an health care organization with primary practice located at 600 Zeagler Drive Suite 1, Palatka FL 32177. 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 (386) 325-8140, or through Marsland, Thomas A via phone (904) 276-2303.
Contact Information
Primary practice address
600 Zeagler Drive Suite 1
Palatka FL 32177
Phone: (386) 325-8140
Fax: (386) 325-2214
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | Florida |
Profile Details
| NPI number | 1730176017 |
|---|---|
| LBN Legal business name | Integrated Community Oncology Network Llc |
| DBA Doing business as | Icon Oncology |
| Authorized official | Marsland, Thomas A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | Nov 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730176017 | NPPES |
| Florida | MEDICAID | 273427302 | |
| Florida | Other | 94890 |
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