OrganizationActive
Integrated Community Oncology Network LLC
NPI 1457529786 · Urology Physician · Jacksonville, FL
Provider details
- NPI number
- 1457529786
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Phelan, Executive Director(904) 363-2113
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
710 Lomax St
Jacksonville, FL 32204-4004
Phone: (904) 355-6583
Fax: (904) 355-4922
Street-level locationGet directions
Mailing address
9143 Philips Hwy
Jacksonville, FL 32256-1348
Other names (DBA / former)
- Doing business as
- Mciver Urological Clinic
Registry dates
- Enumerated
- 2008-02-20
- Last updated
- 2009-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.