10D1031531 CLIA NUMBER - OCALA ONCOLOGY CENTER PL DBA FLORIDA CANCER AFFILIATES - FLORIDA

Laboratory Demographics

CLIA Number: 10D1031531

Facility Name: OCALA ONCOLOGY CENTER PL DBA FLORIDA CANCER AFFILIATES - FLORIDA

Facility Address:
2100 STATE AVE
PANAMA CITY, FL
ZIP 32405
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Facility Phone Number: 850 914-0700

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1487052171

Taxonomy: 207RH0003X - Internal Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D1031531
LAB Type	Physician Office
Facility Name	OCALA ONCOLOGY CENTER PL DBA FLORIDA CANCER AFFILIATES - FLORIDA
Street	2100 STATE AVE
City	PANAMA CITY
State	FL
ZIP	32405
Phone	850 914-0700
CertificateType	1
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024