Intercommunity Cancer Center - Lady Lake Campus Llc
LBN: Intercommunity Cancer Center - Lady Lake Campus Llc
Intercommunity Cancer Center - Lady Lake Campus Llc is an health care organization with primary practice located at 922 Rolling Acres Rd , Lady Lake FL 32159-5022. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty.
Intercommunity Cancer Center - Lady Lake Campus Llc can be contacted via phone (352) 753-6198, or through Jacobson, Hal M via phone (352) 326-2224.
Contact Information
Primary practice address
922 Rolling Acres Rd
Lady Lake FL 32159-5022
Phone: (352) 753-6198
Fax: (352) 326-8335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X |
Profile Details
| NPI number | 1013903699 |
|---|---|
| LBN Legal business name | Intercommunity Cancer Center - Lady Lake Campus Llc |
| DBA Doing business as | |
| Authorized official | Jacobson, Hal M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jan 30th, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013903699 | NPPES |
| Florida | Other | DE8303 | RR MEDICARE |
| Florida | MEDICAID | 273918600 | RR MEDICARE |
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