Inter Community Cancer Institute Llc in Clermont - Radiation Oncology

Inter Community Cancer Institute Llc - NPI 1205865433

Inter Community Cancer Institute Llc is a Radiation Oncology in Clermont, Florida. Inter Community Cancer Institute Llc practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Inter Community Cancer Institute Llc is 1205865433. The last update date is 2015-04-29.

Inter Community Cancer Institute Llc's current location address is 1920 Don Wickham Dr Ste 130, Clermont, Florida. You can contact this provider via phone number 3522439709 and fax number 3522438703. The mailing address for Inter Community Cancer Institute Llc is 1920 Don Wickham Dr Ste 130, Clermont, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Inter Community Cancer Institute Llc
Address 1920 Don Wickham Dr Ste 130, Clermont, Florida
Phone Number 3522439709
Fax Number 3522438703
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Jacobson M Hal
Credentials MD
Telephone Number 3522439709

NPI Number Detail

NPI Number 1205865433
Provider Enumeration Date 2006-07-01
Last Updated Date 2015-04-29

Provider Mailing Address Detail

Address 1920 Don Wickham Dr Ste 130
City Clermont
State Florida (FL)
Post Code 347111978
Phone Number 3522439709
Fax Number 3522438703

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DN5766 FL RR MEDICARE
72079 FL HEALTH OPTIONS
274517800 FL --
72079 FL BCBS

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FAQs about Inter Community Cancer Institute Llc

What is the unique identifier code issued to Inter Community Cancer Institute Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Inter Community Cancer Institute Llc has been assigned the NPI (National Provider Identifier) 1205865433. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Inter Community Cancer Institute Llc?

The Inter Community Cancer Institute Llc is physically situated at 1920 Don Wickham Dr Ste 130, in the city of Clermont, state of FL, with the postal code 347111978.

What is Inter Community Cancer Institute Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Inter Community Cancer Institute Llc is Radiation Oncology, and the taxonomy code that categorizes this field of expertise is 2085R0001X.

When was the Inter Community Cancer Institute Llc's 1205865433 issued?

The Inter Community Cancer Institute Llc's 1205865433 was issued on 2006-07-01.

When was the information pertaining to Inter Community Cancer Institute Llc most recently updated or revised?

The details related to Inter Community Cancer Institute Llc, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-29.

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