Intercommunity Cancer Center - Lady Lake Campus Llc in Lady Lake - Radiation Oncology

Intercommunity Cancer Center - Lady Lake Campus Llc - NPI 1013903699

Intercommunity Cancer Center - Lady Lake Campus Llc is a Radiation Oncology in Lady Lake, Florida. Intercommunity Cancer Center - Lady Lake Campus Llc practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Intercommunity Cancer Center - Lady Lake Campus Llc is 1013903699. The last update date is 2012-01-30.

Intercommunity Cancer Center - Lady Lake Campus Llc's current location address is 922 Rolling Acres Rd, Lady Lake, Florida. You can contact this provider via phone number 3527536198 and fax number 3523268335. The mailing address for Intercommunity Cancer Center - Lady Lake Campus Llc is 922 Rolling Acres Rd, Lady Lake, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Intercommunity Cancer Center - Lady Lake Campus Llc
Address 922 Rolling Acres Rd, Lady Lake, Florida
Phone Number 3527536198
Fax Number 3523268335
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Jacobson M Hal
Telephone Number 3523262224

NPI Number Detail

NPI Number 1013903699
Provider Enumeration Date 2005-09-20
Last Updated Date 2012-01-30

Provider Mailing Address Detail

Address 922 Rolling Acres Rd
City Lady Lake
State Florida (FL)
Post Code 321595022
Phone Number 3527536198
Fax Number 3523268335

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
DE8303 FL RR MEDICARE
273918600 FL --

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FAQs about Intercommunity Cancer Center - Lady Lake Campus Llc

What is the Intercommunity Cancer Center - Lady Lake Campus Llc's unique identification number?

The Intercommunity Cancer Center - Lady Lake Campus Llc has been assigned the NPI (National Provider Identifier) Number 1013903699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Intercommunity Cancer Center - Lady Lake Campus Llc?

The Intercommunity Cancer Center - Lady Lake Campus Llc is physically situated at 922 Rolling Acres Rd, in the city of Lady Lake, state of FL, with the postal code 321595022.

What is Intercommunity Cancer Center - Lady Lake Campus Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Intercommunity Cancer Center - Lady Lake Campus Llc is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.

On what date did the Intercommunity Cancer Center - Lady Lake Campus Llc receive the assignment of its 1013903699 from the Centers for Medicare & Medicaid Services?

The Intercommunity Cancer Center - Lady Lake Campus Llc was issued its 1013903699 by the Centers for Medicare & Medicaid Services on 2005-09-20.

When was the information regarding Intercommunity Cancer Center - Lady Lake Campus Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Intercommunity Cancer Center - Lady Lake Campus Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-01-30.

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