INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC


Address: 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004
Phone: 9044832310

INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC (NPI# 1407096183) 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) 1407096183
Entity Type Organization
Organization Name INTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Other Organization Name FLORIDA RADIATION ONCOLOGY GROUP
Practice Address 710 Lomax St
Suite 1
Jacksonville
FL 32204-4004
Mailing Address Po Box 19675
Jacksonville
FL 32245-9675
Practice Telephone 9044832310
Practice Fax Number 9044832313
Mailing Telephone 9043098680
Mailing Fax Number 9043455841
Enumeration Date 2009-02-20
Last Update Date 2012-07-31
Authorized Official Name SHYAM B PARYANI (DIRECTOR)
Authorized Official Telephone 9043098680
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 273427327 05
FL BCBS 94890 01
FL RAILROAD MEDICARE DC6938 01

Other Provider/Organization Names

Other Name Type Code
Florida Radiation Oncology Group 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
1457529786 Integrated Community Oncology Network LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2008-02-20
1225234404 Integrated Community Oncology Network LLC Radiology 200 N Mangoustine Ave, Sanford, FL 32771-1017 2007-06-25

Office Location

Street Address 710 LOMAX ST
SUITE 1
City JACKSONVILLE
State FL
Zip Code 32204-4004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154396695 Shannon Marie Cordes Nurse Practitioner 710 Lomax St, Jacksonville, FL 32204-4004 2006-02-20
1740741495 Michael Wilson Nurse Practitioner 710 Lomax St, Jacksonville, FL 32204-4015 2019-03-26
1003254228 Kyle Hollingsworth Specialist/Technologist 710 Lomax St, Jacksonville, FL 32204-4015 2013-06-10
1700129707 Matthew Alan Nielsen Urology 710 Lomax St, Jacksonville, FL 32204 2013-03-28
1619221637 Florida Physician Specialists LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2012-10-29
1588917108 Florida Physician Specialists LLC Radiology 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 2012-10-19
1114224961 Tara A Romeu Physician Assistant 710 Lomax St, Jacksonville, FL 32204-4015 2011-02-14
1457529786 Integrated Community Oncology Network LLC Urology 710 Lomax St, Jacksonville, FL 32204-4004 2008-02-20
1770604548 Sagar R. Shah Urology 710 Lomax St, Jacksonville, FL 32204-4004 2007-04-02
1548301336 James Atherton Baldock Urology 710 Lomax St, Jacksonville, FL 32204-4004 2007-02-12
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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033544390 Florida Physician Specialists LLC Radiology 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 2013-09-05
1962662775 Curtis Michael Bryant Radiology 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 2008-06-15
1275791055 Bradford Scott Hoppe Radiology 4500 San Pablo Rd, Jacksonville, FL 32224 2008-05-28
1023282456 Jacksonville Radiation Therapy Services LLC Radiology 7751 Baymeadows Road E, Jacksonville, FL 32256 2008-04-16
1033213038 Jacksonville Oncology Institute Limited Radiology 567 N Westgate Ave, Jacksonville, IL 62650-1156 2006-09-11
1689630949 Mark Emerson Augspurger Radiology 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 2006-04-25
1245296904 Ahmed M Akl Radiology 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 2006-04-21
1649231291 Randal Hollis Henderson Radiology 2015 N. Jefferson St., Jacksonville, FL 32206 2006-03-31
1679555270 Romaine Charles Nichols Jr. Radiology 2015 Jefferson St, Jacksonville, FL 32206-3531 2005-11-18
1972508299 Paul B Ossi Radiology 10881 San Jose Blvd, Jacksonville, FL 32223-6612 2005-06-14
Find all providers in JACKSONVILLE

Competitor

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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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