1144651381 NPI number — OCALA ONCOLOGY CENTER PL

Table of content: (NPI 1144651381)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144651381 NPI number — OCALA ONCOLOGY CENTER PL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OCALA ONCOLOGY CENTER PL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144651381
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7324 LITTLE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW PORT RICHEY
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34654-5518
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-484-7722
Provider Business Mailing Address Fax Number:
727-484-7780

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7614 JACQUE RD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
HUDSON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34667-7195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-862-8548
Provider Business Practice Location Address Fax Number:
727-863-4530
Provider Enumeration Date:
12/12/2013

Additional Information

Authorized Official

Authorized Official Last Name:
HOCHMAN
Authorized Official First Name:
LAWRENCE
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
PRACTICE PRESIDENT
Authorized Official Telephone Number:
727-372-9159

Provider Taxonomy Codes

  • Taxonomy code: 208800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com