Healthcare Provider Details

I. General information

NPI: 1538575410
Provider Name (Legal Business Name): OCALA ONCOLOGY CENTER PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2014
Last Update Date: 07/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8140 COLLEGE PKWY SUITE 101
FORT MYERS FL
33919-5188
US

IV. Provider business mailing address

7324 LITTLE RD
NEW PORT RICHEY FL
34654-5518
US

V. Phone/Fax

Practice location:
  • Phone: 239-653-9118
  • Fax: 239-653-9108
Mailing address:
  • Phone: 727-484-7722
  • Fax: 727-484-7781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberME1096447
License Number StateFL

VIII. Authorized Official

Name: DR. LAWRENCE D. HOCHMAN
Title or Position: PRACTICE PRESIDENT
Credential: D.O.
Phone: 727-372-9159