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North Florida Cancer Center Live Oak Llc
Radiation Oncology Physician in Live Oak, Florida
NPI 1730176215

North Florida Cancer Center Live Oak Llc is a Radiation Oncology Physician based in Live Oak, FL and is specialized in Radiation Oncology. North Florida Cancer Center Live Oak Llc practices in Live Oak, FL. The NPI Number for North Florida Cancer Center Live Oak Llc is 1730176215 and holds a License No. (Florida).

The current practice location address for North Florida Cancer Center Live Oak Llc is 1500 Ohio Ave N, Live Oak, FL and can be reached out via phone at 386-362-1174 and via fax at 386-362-1142.

Location: 1500 Ohio Ave N, Live Oak, FL, 32064-4820
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730176215
Provider Name
North Florida Cancer Center Live Oak Llc
Credential
Provider Entity Type
Organization
Address
1500 Ohio Ave N, Live Oak, FL, 32064-4820
Phone Number
386-362-1174
Fax Number
386-362-1142
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DD1688 01 FL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1500 Ohio Ave N
City
Live Oak
State
Florida
Zip
32064-4820
Phone Number
386-362-1174
Fax Number
386-362-1142
person
Provider Business Mailing Address Details
Address
1500 Ohio Ave N
City
Live Oak
State
Florida
Zip
32064-4820
Phone Number
386-362-1174
Fax Number
386-362-1142
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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