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1205865433
INTER COMMUNITY CANCER INSTITUTE LLC
CLERMONT, FL
NPI
1205865433
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Entity Type
Organization
Authorized Contact
HAL M JACOBSON
Medical Director
352-243-9709
Organization Subpart ?
No
Primary Taxonomy
2085R0001X Radiology Radiation Oncology
Enumeration Date
2006-07-01
Last Update Date
2015-04-29
Business Address
INTER COMMUNITY CANCER INSTITUTE LLC
1920 DON WICKHAM DR SUITE 130
CLERMONT, FL 34711-1918
Phone number: 352-243-9709
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Mailing Address
INTER COMMUNITY CANCER INSTITUTE LLC
1920 DON WICKHAM DR STE 130
CLERMONT, FL 34711-1978
Phone number: 352-243-9709
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