Provider Demographics
NPI:1639510829
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 1:11373 CORTEZ BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-5405
Practice Address - Country:US
Practice Address - Phone:352-597-4998
Practice Address - Fax:352-596-6051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265199804Medicaid
FL265199804Medicaid