Integrated Community Oncology Network LLC
Integrated Community Oncology Network LLC is an Urology Physician in Jacksonville, Florida. Registered with an NPI since 2011.
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6269 Beach Blvd Ste 2Jacksonville, FL 32216-2768
Phone: (904) 727-7955
Fax: (904) 727-7976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X |
|---|
Record details
| NPI number | 1649574500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ahmad Kasraeian — Kasraeian Urology Division Manager · (904) 727-7955 |
| Other names | Kasraeian Urology Divison Of Icon |
| NPI enumerated | January 6, 2011 |
| Last updated in NPPES | June 15, 2012 |
| Mailing address | 6269 Beach Blvd, Suite 2, Jacksonville, FL 32216-2768 |
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Ahmad Kasraeian, MD
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Dr. Ali Kasraeian, MD
6269 Beach Blvd Ste 2, Jacksonville, FL 32216-2768 · (904) 727-7955