Intercommunity Cancer Center - Lady Lake Campus LLC
NPI 1013903699ActiveOrganization· Radiology, Radiation Oncology· Lady Lake, FL
Radiology, Radiation Oncology in Lady Lake, Florida, registered in NPPES in September 2005. The authorized official on file is Hal M. Jacobson, Medical Director.
Overview
| NPI | 1013903699 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2005 |
| Last updated in NPPES | Jan 30, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Radiation Oncology Primary | 2085R0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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