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UROLOGY ASSOCIATES OF NORTHEAST FLORIDA
NPI 1720310733
Urology in Orange Park, FL

Active since February 02, 2010CLIA 10D0857904 · Microscopy
1715 VILLAGE WAY, ORANGE PARK, FL 32073(904) 264-8418(904) 264-9692 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Urology Associates Of Northeast Florida NPPES

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

UROLOGY ASSOCIATES OF NORTHEAST FLORIDA (NPI 1720310733) is a healthcare organization registered as an urology in Orange Park, Florida and active in the NPI registry since February 2010. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Robert J Phelan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1720310733
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameINTEGRATED COMMUNITY ONCOLOGY NETWORK LLC
Location Address1715 VILLAGE WAYOrange Park, FL 32073-5263
Mailing Address9143 Philips Hwy Ste 560Jacksonville, FL 32256-1369 · (904) 363-7453 · Fax (904) 538-3672
Phone(904) 264-8418
Fax(904) 264-9692
Organization SubpartNo
Authorized OfficialRobert J PhelanExecutive Director · (904) 363-2113
Enumeration DateFebruary 2, 2010
✔ NPI 1720310733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in FL · ME59868
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1715 VILLAGE WAY, Orange Park, FL 32073
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Other Names 1

Doing Business AsUrology Associates Of Northeast Florida

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0857904

Urology Associates Of Northeast Florida · Orange Park, FL
Active · expires Aug 31, 2026
CLIA Number10D0857904
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMarc E. Blasser
Laboratory Phone(904) 264-8418
Laboratory LocationUrology Associates Of Northeast Florida1715 Village Way, Orange Park, FL 32073
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

DR. DAVID SCOTT BARGNESI MD
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
DR. MARC HEPNER BLASSER M.D.
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
UROLOGY ASSOC. OF N.E. FLORIDA
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
CHRISTOPHER MOORE M.D.
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
MR. DAVID WAYNE FORBIS PA-C
Physician Assistant (Surgical)
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
FLORIDA PHYSICIAN SPECIALISTS LLC
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418
DR. JAMES EMMETT KAELIN M.D.
Urology
1715 VILLAGE WAY
ORANGE PARK, FL 32073
Clay County (904) 264-8418

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 1720310733. It was assigned to this organization in the NPPES registry on February 2, 2010. The provider is doing business as Urology Associates Of Northeast Florida.

Where is Integrated Community Oncology Network LLC located?

Integrated Community Oncology Network LLC is located at 1715 Village Way, Orange Park, FL 32073. The listed phone number is (904) 264-8418.

What is Integrated Community Oncology Network LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Integrated Community Oncology Network LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D0857904) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrated Community Oncology Network LLC was last updated on February 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.