INTERCOMMUNITY CANCER CENTER - LADY LAKE CAMPUS LLC

LADY LAKE, FL
NPI1013903699
Entity TypeOrganization
Authorized ContactHAL M JACOBSON
Medical Director
352-326-2224
Organization Subpart ?No
Primary Taxonomy2085R0001X 
Enumeration Date2005-09-20
Last Update Date2012-01-30
Business Address
INTERCOMMUNITY CANCER CENTER - LADY LAKE CAMPUS LLC
922 ROLLING ACRES RD
LADY LAKE, FL 32159-5022
Phone number: 352-753-6198
Mailing Address
INTERCOMMUNITY CANCER CENTER - LADY LAKE CAMPUS LLC
PO BOX 863359
ORLANDO, FL 32886-3359
Phone number: 352-326-2224