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Intercommunity Cancer Center - Lady Lake Campus Llc
Radiation Oncology Physician in Lady Lake, Florida
NPI 1013903699

Intercommunity Cancer Center - Lady Lake Campus Llc is a Radiation Oncology Physician based in Orlando, FL and is specialized in Radiation Oncology. Intercommunity Cancer Center - Lady Lake Campus Llc practices in Lady Lake, FL. The NPI Number for Intercommunity Cancer Center - Lady Lake Campus Llc is 1013903699 and holds a License No. (Florida).

The current practice location address for Intercommunity Cancer Center - Lady Lake Campus Llc is 922 Rolling Acres Rd, Lady Lake, FL and can be reached out via phone at 352-753-6198 and via fax at 352-326-8335.

Location: 922 Rolling Acres Rd, Lady Lake, FL, 32886-3359
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013903699
Provider Name
Intercommunity Cancer Center - Lady Lake Campus Llc
Credential
Provider Entity Type
Organization
Address
922 Rolling Acres Rd, Lady Lake, FL, 32886-3359
Phone Number
352-753-6198
Fax Number
352-326-8335
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE8303 01 FL RR MEDICARE
273918600 05 FL
institution
Provider Business Practice Location Address Details
Address
922 Rolling Acres Rd
City
Lady Lake
State
Florida
Zip
32159-5022
Phone Number
352-753-6198
Fax Number
352-326-8335
person
Provider Business Mailing Address Details
Address
922 Rolling Acres Rd
City
Lady Lake
State
Florida
Zip
32159-5022
Phone Number
352-753-6198
Fax Number
352-326-8335
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
()
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.
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