Healthcare Provider Details

I. General information

NPI: 1558782714
Provider Name (Legal Business Name): OCALA ONCOLOGY CENTER PL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2013
Last Update Date: 04/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13904 LAKESHORE BLVD SUITE 410
HUDSON FL
34667-1481
US

IV. Provider business mailing address

7324 LITTLE RD
NEW PORT RICHEY FL
34654-5518
US

V. Phone/Fax

Practice location:
  • Phone: 727-862-5489
  • Fax: 727-862-0397
Mailing address:
  • Phone: 727-484-7722
  • Fax: 727-484-7780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology 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