NORTH FLORIDA CANCER CENTER LIVE OAK LLC
NPI 1730176215
Radiology - Radiation Oncology in Live Oak, FL

Q: What is North Florida Cancer Center Live Oak LLC's specialty?

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

Active since September 30, 2005

1500 OHIO AVE N, LIVE OAK, FL 32064(386) 362-1174(386) 362-1142 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About North Florida Cancer Center Live Oak Llc NPPES

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

NORTH FLORIDA CANCER CENTER LIVE OAK LLC (NPI 1730176215) is a healthcare organization registered as a radiation oncology in Live Oak, Florida and active in the NPI registry since September 2005. The organization lists Lavelle Hardin, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1730176215

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameNORTH FLORIDA CANCER CENTER LIVE OAK LLC

Location Address1500 OHIO AVE NLive Oak, FL 32064-4820

Mailing Address1500 Ohio Ave NLive Oak, FL 32064-4820 · (386) 362-1174 · Fax (386) 362-1142

Phone(386) 362-1174

Fax(386) 362-1142

Organization SubpartNo

Authorized OfficialLavelle HardinCredentialing Coordinator · (615) 344-8203

Enumeration DateSeptember 30, 2005

Last NPPES UpdateMarch 18, 2008

✔ NPI 1730176215 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.

1500 OHIO AVE N, Live Oak, FL 32064

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Other Identifiers 2

OtherDD1688FL · Rr Medicare

Medicare PINK7532FL

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

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 North Florida Cancer Center Live Oak LLC's NPI number?

The NPI number for North Florida Cancer Center Live Oak LLC is 1730176215. It was assigned to this organization in the NPPES registry on September 30, 2005.

Where is North Florida Cancer Center Live Oak LLC located?

North Florida Cancer Center Live Oak LLC is located at 1500 Ohio Ave N, Live Oak, FL 32064. The listed phone number is (386) 362-1174.

What is North Florida Cancer Center Live Oak 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 North Florida Cancer Center Live Oak LLC was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.