NPI 1043230402

Integrated Community Oncology Network LLC

Organisation Radiation Oncology Physician Jacksonville, FL

Practice location

Address: 5742 Booth Rd Suite B, Jacksonville, FL 32207-5982
Phone: (904) 636-6911
Fax: (904) 636-6330
Mailing address: PO Box 19675, Jacksonville, FL 32245-9675

Authorised official

Name: Shyam B Paryani
Title: Director
Phone: (904) 309-8680

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Other Radiology providers in Florida →

Registry record

NPI: 1043230402
Entity type: Organization
NPI issued: 20 Jul 2006
Record last updated: 21 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.