Organization · Type 2 NPI

Lake City Cancer Care LLC

Hematology & Oncology Physician · Lake City, FL

NPI number 1235835216 Active

Practice location

4520 W US Highway 90
Lake City, FL 32055-8341

Fax (352) 755-0602

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Urology Physician 208800000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

3 other providers at this address

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About NPI 1235835216

Lake City Cancer Care LLC's National Provider Identifier is 1235835216, issued on Feb 1, 2023. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lake City, FL. The record was last updated on May 20, 2026.