Organization
LAKEWOOD RANCH ONCOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G. JACKSON (OPERATIONS MANAGER)
(941) 907-9053
Entity
Organization
Contact information
Practice address
8946 77TH TER E, LAKEWOOD RANCH, FL 34202-6421
(941) 907-9053
(941) 907-9473
Mailing address
8946 77TH TER E, LAKEWOOD RANCH, FL 34202-6421
(941) 907-9053
(941) 907-9473
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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