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INTERCOMMUNITY CANCER CENTER - LADY LAKE CAMPUS LLC
NPI 1013903699
Radiology - Radiation Oncology in Lady Lake, FL

Active since September 20, 2005
922 ROLLING ACRES RD, LADY LAKE, FL 32159(352) 753-6198(352) 326-8335 Get Directions Write a Review

NPPES record last updated: January 30, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Intercommunity Cancer Center - Lady Lake Campus Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERCOMMUNITY CANCER CENTER - LADY LAKE CAMPUS LLC (NPI 1013903699) is a healthcare organization registered as a radiation oncology in Lady Lake, Florida and active in the NPI registry since September 2005. The organization lists Hal M Jacobson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1013903699
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameINTERCOMMUNITY CANCER CENTER - LADY LAKE CAMPUS LLC
Location Address922 ROLLING ACRES RDLady Lake, FL 32159-5022
Mailing AddressPo Box 863359Orlando, FL 32886-3359 · (352) 326-2224 · Fax (352) 326-8335
Phone(352) 753-6198
Fax(352) 326-8335
Organization SubpartNo
Authorized OfficialHal M JacobsonMedical Director · (352) 326-2224
Enumeration DateSeptember 20, 2005
Last NPPES UpdateJanuary 30, 2012
✔ NPI 1013903699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

922 ROLLING ACRES RD, Lady Lake, FL 32159
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Other Identifiers 3

OtherDE8303FL · Rr Medicare
Medicare PINK8252FL
Medicaid273918600FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID JOHN CATALANO M.D.
Radiology (Radiation Oncology)
922 ROLLING ACRES RD, SUITE 1
LADY LAKE, FL 32159
Lake County (352) 674-6300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Intercommunity Cancer Center - Lady Lake Campus LLC's NPI number?

The NPI number for Intercommunity Cancer Center - Lady Lake Campus LLC is 1013903699. It was assigned to this organization in the NPPES registry on September 20, 2005.

Where is Intercommunity Cancer Center - Lady Lake Campus LLC located?

Intercommunity Cancer Center - Lady Lake Campus LLC is located at 922 Rolling Acres Rd, Lady Lake, FL 32159. The listed phone number is (352) 753-6198.

What is Intercommunity Cancer Center - Lady Lake Campus LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Intercommunity Cancer Center - Lady Lake Campus LLC was last updated on January 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.