Provider Demographics
NPI:1558782714
Name:OCALA ONCOLOGY CENTER PL
Entity Type:Organization
Organization Name:OCALA ONCOLOGY CENTER PL
Other - Org Name:FLORIDA CANCER AFFILIATES-TAMPA BAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-372-9159
Mailing Address - Street 1:7324 LITTLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-5518
Mailing Address - Country:US
Mailing Address - Phone:727-484-7722
Mailing Address - Fax:727-484-7780
Practice Address - Street 1:13904 LAKESHORE BLVD
Practice Address - Street 2:SUITE 410
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-1481
Practice Address - Country:US
Practice Address - Phone:727-862-5489
Practice Address - Fax:727-862-0397
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-13
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265199812Medicaid
FL265199812Medicaid