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Lake Cancer Medical Center Pa
Hematology & Oncology Physician in Leesburg, Florida
NPI 1093747560

Lake Cancer Medical Center Pa is a Hematology & Oncology Physician based in Leesburg, FL and is specialized in Hematology & Oncology. Lake Cancer Medical Center Pa practices in Leesburg, FL. The NPI Number for Lake Cancer Medical Center Pa is 1093747560 and holds a License No. ME81152 (Florida).

The current practice location address for Lake Cancer Medical Center Pa is 732 North Third Street, Leesburg, FL and can be reached out via phone at 352-728-2532 and via fax at 352-728-3004. You can also correspond with Lake Cancer Medical Center Pa through the mailing address at 732 NORTH THIRD STREET, LEESBURG, FL - 34748 (mailing address contact number: 352-728-2532).

Location: 732 North Third Street, Leesburg, FL, 34748
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093747560
Provider Name
Lake Cancer Medical Center Pa
Credential
Provider Entity Type
Organization
Address
732 North Third Street, Leesburg, FL, 34748
Phone Number
352-728-2532
Fax Number
352-728-3004
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE5747 01 FL RAILROAD MEDICARE
94872 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
732 North Third Street
City
Leesburg
State
Florida
Zip
34748
Phone Number
352-728-2532
Fax Number
352-728-3004
person
Provider Business Mailing Address Details
Address
732 North Third Street
City
Leesburg
State
Florida
Zip
34748
Phone Number
352-728-2532
Fax Number
352-728-3004
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME24875 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
ME81152 (Florida)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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