| NPI | 1902893902 |
|---|---|
| Doing Business As | THE CANCER CENTER AT LAKE CITY |
| Entity Type | Organization |
| Authorized Contact | JOAN R GLADNEY Regional Director 352-474-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2012-05-01 |