INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC


Address: 2 Shircliff Way, Suite 800, Jacksonville, FL 32204-4732
Phone: 9043882619

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC (NPI# 1851388128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851388128
Entity Type Organization
Organization Name INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Other Organization Name CANCER SPECIALISTS OF NORTH FLORIDA
Practice Address 2 Shircliff Way
Suite 800
Jacksonville
FL 32204-4732
Mailing Address 9143 Philips Hwy
Ste 560
Jacksonville
FL 32256-1348
Practice Telephone 9043882619
Practice Fax Number 9043880240
Mailing Telephone 9043632113
Mailing Fax Number 9045383672
Enumeration Date 2005-10-03
Last Update Date 2012-05-24
Authorized Official Name MR. ROBERT J PHELAN (CEO)
Authorized Official Telephone 9043632113
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 273427320 05
FL BCBS 94890 01

Other Provider/Organization Names

Other Name Type Code
Cancer Specialists of North Florida Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023054921 Integrated Community Oncology Network LLC Internal Medicine 1689 Eagle Harbor Pkwy, Suite C, Orange Park, FL 32003-4817 2006-06-21
1932196243 Integrated Community Oncology Network LLC Internal Medicine 9143 Philips Hwy, Ste 560, Jacksonville, FL 32256-1348 2005-10-03
1730176017 Integrated Community Oncology Network LLC Durable Medical Equipment & Medical Supplies 600 Zeagler Drive, Suite 1, Palatka, FL 32177 2005-10-03
1821085101 Integrated Community Oncology Network LLC Durable Medical Equipment & Medical Supplies 2161 Kingsley Avenue, Suite 200, Orange Park, FL 32073 2005-10-03
1558796151 Integrated Community Oncology Network LLC Internal Medicine 1677 Eagle Harbor Pkwy, Suite A, Fleming Island, FL 32003-4802 2013-09-13
1649574500 Integrated Community Oncology Network LLC Urology 6269 Beach Blvd, Suite 2, Jacksonville, FL 32216-2768 2011-01-06
1720310733 Integrated Community Oncology Network LLC Urology 1715 Village Way, Orange Park, FL 32073-5263 2010-02-02
1467683839 Integrated Community Oncology Network LLC Radiology 425 S Parsons Ave, Suite 102, Brandon, FL 33511-5289 2009-08-04
1407096183 Integrated Community Oncology Network LLC Radiology 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 2009-02-20
1457529786 Integrated Community Oncology Network LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2008-02-20

Office Location

Street Address 2 SHIRCLIFF WAY
SUITE 800
City JACKSONVILLE
State FL
Zip Code 32204-4732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972508356 Suprith Badarinath Internal Medicine 2 Shircliff Way, Ste 800, Jacksonville, FL 32204-4751 2005-06-14
1841656105 Rita Marie Border Nurse Practitioner 2 Shircliff Way, #300, Jacksonville, FL 32204-4753 2016-01-01
1295128817 Alexandra Eleanor Michaelis Nurse Practitioner 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204-4763 2015-03-05
1538558028 Carole Faria Registered Nurse 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 2015-01-21
1609265107 Teresa Braddy Registered Nurse 2 Shircliff Way, Suite 900, Jacksonville, FL 32204-4753 2015-01-21
1235533829 Heekin Clinic LLC Orthopaedic Surgery 2 Shircliff Way, Ste 605 Depaul Building, Jacksonville, FL 32204-4753 2014-10-10
1851710404 Juan Chique Figueroa Internal Medicine 2 Shircliff Way, Suite 700 Depaul Bldg., Jacksonville, FL 32204 2014-04-10
1295151348 Harris, Wilcox & Donovan Pa Ophthalmology 2 Shircliff Way, Suite 120, Jacksonville, FL 32204-4753 2014-03-13
1568800613 Sara Marie Preston Nurse Practitioner 2 Shircliff Way, Ste 700 Depaul Bldg., Jacksonville, FL 32204-4763 2013-06-11
1851735187 Lori Elizabeth Jones-taylor Pharmacist 2 Shircliff Way, Jacksonville, FL 32204-4753 2013-04-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437719853 North Florida Surgeons, Pa Orthopaedic Surgery 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 2019-06-18
1770043531 Manuel Viado Rosas Physical Therapist Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 2019-03-20
1255805172 Tracie Nickole Singh Marriage & Family Therapist 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 2019-01-14
1427548544 Bold City Therapy and Wellness LLC Clinic/Center 2054 Park Street, Jacksonville, FL 32204 2018-05-14
1356883078 Lcn Enterprise, LLC Case Manager/Care Coordinator 1225 W Beaver St Ste 106, Jacksonville, FL 32204 2016-11-11
1073065082 Prosser and Prosser LLC Non-emergency Medical Transport (VAN) 2120 Ernest St, Jacksonville, FL 32204 2016-10-26
1336529817 Nader Daoud Internal Medicine 1 Shircliffway, Jacksonville, FL 32204 2015-06-01
1194119214 Benjamin James Dionne Internal Medicine 2 Shircliff Way Ste 400, Jacksonville, FL 32204 2015-03-26
1598187932 Jamara Stephens Counselor 1225 W Beaver St Ste 205, Jacksonville, FL 32204 2014-01-18
1154743961 Kathleen Jasper Nurse Anesthetist, Certified Registered 2165 Herschel Street, Jacksonville, FL 32204 2014-01-14
Find all providers in zip 32204

Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760818959 Talha Badar Internal Medicine 4500 San Pablo Rd S # X, Jacksonville, FL 32224-1865 2013-09-19
1952621237 Harvey B Sher Internal Medicine 2742 Beauclerc Rd, Jacksonville, FL 32257-5602 2010-06-09
1548426703 Ewa M Wysokinska Internal Medicine 4500 San Pablo Rd S Fl 3222, Jacksonville, FL 32224-1865 2008-08-06
1750598363 Sridhar Srinivasan Internal Medicine 14546 Old Saint Augustine Rd Ste 100, Jacksonville, FL 32258-5468 2007-05-16
1891878146 Miten R Patel Internal Medicine 7015 Ac Skinner Parkway, Building 100, Jacksonville, FLORIDA 32256-6932 2006-10-23
1831122035 Shonda Michelle Asaad Internal Medicine 239 Station St, Jacksonville, NC 28546-6304 2006-07-09
1770535700 Sahana R Kalmadi Internal Medicine 14546 Old Saint Augustine Rd Ste 317, Jacksonville, FL 32258-5472 2006-05-17
1902889959 Maria J Valente Internal Medicine 7015 A C Skinner Pkwy, Bldg 100, Jacksonville, FL 32256-6932 2005-11-23
1124017850 Lawrence Arthur Solberg Jr. Internal Medicine 3827 Coopers Lake Rd, Jacksonville, FL 32224-8436 2005-10-15
1922095884 Carlos M Castillo Internal Medicine 7751 Baymeadows Rd E Ste 205, Jacksonville, FL 32256 2005-10-05
Find all providers in JACKSONVILLE

Competitor

Search similar providers

City JACKSONVILLE
Zip Code 32204

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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