Intercommunity Cancer Center - Lady Lake Campus LLC
NPI #1013903699 in Lady Lake, Florida
Provider Information
- NPI Number
- 1013903699
- Entity Type
- Organization
- Organization Name
- Intercommunity Cancer Center - Lady Lake Campus LLC
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- Sep 20, 2005
- Last Updated
- Jan 30, 2012
Practice Location
Authorized Official
- Name
- HAL M JACOBSON
- Title
- MEDICAL DIRECTOR
- Phone
- (352) 326-2224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
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