Inter Community Cancer Institute Llc

NPI 1205865433 - Radiology - 2085R0001X

NPI Details
NPI 1205865433
Enumeration Date 07/01/2006
Last Updated 04/29/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name HAL M HAL
Position MEDICAL DIRECTOR
Phone (352) 243-9709
Fax (352) 243-8703
Practice Location
1920 DON WICKHAM DR
SUITE 130
CLERMONT FL, 34711-1918, US
Phone (352) 243-9709
Fax (352) 243-8703
Business Location
1920 DON WICKHAM DR STE 130
CLERMONT FL, 34711-1978, US
Phone (352) 243-9709
Fax (352) 243-8703
Toxanomy
Taxonomy Code 2085R0001X
License State
License Number
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According to our database, Inter Community Cancer Institute Llc NPI is 1205865433, taxonomy code is 2085R0001X Inter Community Cancer Institute Llc physically located at 1920 Don Wickham Dr, Clermont FL, 34711-1918. NPI Number 1033115704 has the healthcare provider type.

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1205865433 NPI number is provided on an as is basis without warranty of any kind. 1205865433 is maintained by the National Plan & Provider Enumeration System. The contents of Inter Community Cancer Institute Llc are for informational purposes only.