The Cancer Center At Lake City

LBN: North Florida Cancer Center Lake City Llc
The Cancer Center At Lake City is an health care organization with primary practice located at 795 Sw Highway 47 , Lake City FL 32025. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. North Florida Cancer Center Lake City Llc can be contacted via phone (386) 758-7822, or through Gladney, Joan R via phone (352) 474-6190.

Contact Information

Primary practice address
795 Sw Highway 47 Lake City FL 32025
Fax: (386) 758-2224
Website:
Authorized official contact:
Name: Gladney, Joan R

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1902893902
LBN Legal business name North Florida Cancer Center Lake City Llc
DBA Doing business as The Cancer Center At Lake City
Authorized official Gladney, Joan R
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated May 1st, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902893902 NPPES
Florida MEDICAID 272085000
Florida Other 74629
Florida Other DD1689

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