Healthcare Provider Details
I. General information
NPI: 1639510829
Provider Name (Legal Business Name): OCALA ONCOLOGY CENTER PL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2013
Last Update Date: 12/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11373 CORTEZ BLVD SUITE 200
BROOKSVILLE FL
34613-5405
US
IV. Provider business mailing address
7324 LITTLE RD
NEW PORT RICHEY FL
34654-5518
US
V. Phone/Fax
- Phone: 352-597-4998
- Fax: 352-596-6051
- Phone: 727-484-7722
- Fax: 727-484-7780
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LAWRENCE
D.
HOCHMAN
Title or Position: PRACTICE PRESIDENT
Credential: D.O.
Phone: 727-372-9159