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Contact Information

NORTH FLORIDA CANCER CENTER LAKE CITY LLC
795 SW HIGHWAY 47
LAKE CITY, FL32025
 Phone: 386-758-7822
 Fax: 386-758-2224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for NORTH FLORIDA CANCER CENTER LAKE CITY LLC · (Female)

NPI Number 1902893902
Status Active
Credentials
Entity Individual
Enumeration date 10/04/2005
Last updated 05/01/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 272085000
  • FL Other 74629 BCBS
  • FL Other DD1689 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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