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Integrated Community Oncology Network LLC

Hematology & Oncology Physician in St Augustine, FL · enumerated 2005 · authorized official Robert Phelan, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1336136654

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Registry record

Entity type Organization (Type 2)
Legal business name Integrated Community Oncology Network LLC
Other name <Unavail>
Practice address 9 San Bartola Dr, St Augustine, FL, 32086
Phone (904) 825-4500
Fax (904) 825-3672
Enumeration date Oct 3, 2005
Last updated in NPPES May 24, 2012

Taxonomy & classification

207RH0003X Hematology & Oncology Physician Allopathic & Osteopathic Physicians Primary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Robert Phelan
Title Ceo
Phone (904) 363-2113

Other identifiers

Identifier Type State Issuer
273427309 Medicaid FL -
94890 Other FL BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Integrated Community Oncology Network LLC?
The NPI for Integrated Community Oncology Network LLC is 1336136654, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Integrated Community Oncology Network LLC?
NPPES lists Robert Phelan (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-24.