Organization
LAKE CITY CANCER CARE LLC
Active
Parent organization
LAKE CITY CANCER CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKE CITY CANCER CARE LLC
Authorized official
ROBERT RHYMER (EVP HR & CHIEF CLINICAL OPERATIONS)
(615) 467-7415
Entity
Organization
Contact information
Practice address
4520 W US HIGHWAY 90, LAKE CITY, FL 32055-8341
(352) 755-0601
(352) 755-0602
Mailing address
104 WOODMONT BLVD STE 500, NASHVILLE, TN 37205-2245
(615) 783-1071
(615) 783-1082
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015614301
—
FL
Enumeration date
02/01/2023
Last updated
12/30/2024
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