CANCER CENTER OF PALM COAST
NPI 1043365588
Internal Medicine - Hematology & Oncology in Palm Coast, FL

Active since January 24, 2007
9 PINE CONE DR, SUITE 108, PALM COAST, FL 32137(386) 445-7334(386) 445-7389 Get Directions Write a Review

NPPES record last updated: May 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cancer Center Of Palm Coast NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANCER CENTER OF PALM COAST (NPI 1043365588) is a healthcare organization registered as a hematology & oncology in Palm Coast, Florida and active in the NPI registry since January 2007. The organization lists Robert J Phelan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043365588
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameINTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Location Address9 PINE CONE DR, SUITE 108Palm Coast, FL 32137-8686
Mailing Address9143 Philips Hwy, Suite 560Jacksonville, FL 32256-1348 · (904) 363-2113 · Fax (904) 538-3672
Fax(386) 445-7389
Organization SubpartNo
Authorized OfficialRobert J PhelanExecutive Director · (904) 363-2113
Enumeration DateJanuary 24, 2007
Last NPPES UpdateMay 24, 2012
NPI 1043365588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
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.
9 PINE CONE DR, Palm Coast, FL 32137

Other Names 1

Other NameCancer Center Of Palm Coast

Other Identifiers 4

Medicare PINK7038FL
Medicare PINDC6938FL
Medicaid273427324FL
Other94890FL · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
9 PINE CONE DR, STE 104A
PALM COAST, FL 32137
Physical Medicine & Rehabilitation
9 PINE CONE DR, SUITE 104A
PALM COAST, FL 32137
Occupational Therapist (Hand)
9 PINE CONE DR
PALM COAST, FL 32137
Speech-Language Pathologist
9 PINE CONE DR, SUITE 104B
PALM COAST, FL 32137
Speech-Language Pathologist
9 PINE CONE DR, SUITE 104B
PALM COAST, FL 32137
Physical Therapist
9 PINE CONE DR, #104B
PALM COAST, FL 32137
Physical Therapist
9 PINE CONE DR, # 104B
PALM COAST, FL 32137
Dentist (General Practice)
9 PINE CONE DR, SUITE 106A
PALM COAST, FL 32137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Community Oncology Network LLC's NPI number?

The NPI number for Integrated Community Oncology Network LLC is 1043365588. It was assigned to this organization in the NPPES registry on January 24, 2007. The provider is also known as Cancer Center Of Palm Coast.

Where is Integrated Community Oncology Network LLC located?

Integrated Community Oncology Network LLC is located at 9 Pine Cone Dr Suite 108, Palm Coast, FL 32137. The listed phone number is (386) 445-7334.

What is Integrated Community Oncology Network LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Integrated Community Oncology Network LLC was last updated on May 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.