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INTER COMMUNITY CANCER INSTITUTE LLC
NPI 1205865433
Radiology - Radiation Oncology in Clermont, FL

Active since July 01, 2006
1920 DON WICKHAM DR, SUITE 130, CLERMONT, FL 34711(352) 243-9709(352) 243-8703 Get Directions Write a Review

NPPES record last updated: April 29, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Inter Community Cancer Institute Llc NPPES

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

INTER COMMUNITY CANCER INSTITUTE LLC (NPI 1205865433) is a healthcare organization registered as a radiation oncology in Clermont, Florida and active in the NPI registry since July 2006. The organization lists Hal M Jacobson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1205865433
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameINTER COMMUNITY CANCER INSTITUTE LLC
Location Address1920 DON WICKHAM DR, SUITE 130Clermont, FL 34711-1918
Mailing Address1920 Don Wickham Dr Ste 130Clermont, FL 34711-1978 · (352) 243-9709 · Fax (352) 243-8703
Phone(352) 243-9709
Fax(352) 243-8703
Organization SubpartNo
Authorized OfficialHal M JacobsonMedical Director · (352) 243-9709
Enumeration DateJuly 1, 2006
Last NPPES UpdateApril 29, 2015
✔ NPI 1205865433 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.
1920 DON WICKHAM DR, Clermont, FL 34711
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Other Identifiers 5

Other72079FL · Bcbs
Medicare PINK8033FL
Medicaid274517800FL
Other72079FL · Health Options
OtherDN5766FL · Rr Medicare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Other Providers at the Same Location NPPES 9

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

DANIEL C CHIN PA
Physician Assistant (Medical)
1920 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8761
LEAVITT MEDICAL ASSOCIATES OF FLORIDA INC
Dermatology
1920 DON WICKHAM DR, SUITE 330
CLERMONT, FL 34711
Lake County (352) 241-4298
SINDHU SONY JACOB M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1920 DON WICKHAM DR, SUITE 325
CLERMONT, FL 34711
Lake County (352) 536-8644
MRS. MELLISA POWELL APRN
Nurse Practitioner (Family)
1920 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 536-8761
NATHALIA ROSA PA-C
Physician Assistant
1920 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (352) 394-8808
MAUREEN CLAIRE HOLASEK M.D.
Radiology (Radiation Oncology)
1920 DON WICKHAM DR, STE. 130
CLERMONT, FL 34711
Lake County (352) 243-9709
HAL M JACOBSON MD
Radiology (Radiation Oncology)
1920 DON WICKHAM DR, SUITE130
CLERMONT, FL 34711
Lake County (352) 243-9709
MARIA ALEJANDRA MORENO CABASOS NP
Nurse Practitioner
1920 DON WICKHAM DR
CLERMONT, FL 34711
Lake County (866) 400-3376

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 Inter Community Cancer Institute LLC's NPI number?

The NPI number for Inter Community Cancer Institute LLC is 1205865433. It was assigned to this organization in the NPPES registry on July 1, 2006.

Where is Inter Community Cancer Institute LLC located?

Inter Community Cancer Institute LLC is located at 1920 Don Wickham Dr Suite 130, Clermont, FL 34711. The listed phone number is (352) 243-9709.

What is Inter Community Cancer Institute LLC's specialty?

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

What insurance does Inter Community Cancer Institute LLC accept?

Health plans from Wellpoint list Inter Community Cancer Institute LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Inter Community Cancer Institute LLC was last updated on April 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.