Ackerman Cancer Center, PA
Urology in Jacksonville, FL. Organization (NPI-2).
NPI number1013542919
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1013542919
- Entity type
- Organization (NPI-2)
- Legal business name
- Ackerman Cancer Center, PA
- Organization subpart
- No
- Enumeration date
- Mar 11, 2020
- Certification date
- Jul 13, 2023
- Last updated
- Jul 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
Other names
- Ackerman Urology (Doing Business As)
Practice location
10232 San Jose BlvdJacksonville, FL 32257
Phone 904-490-7400 · Fax 904-490-7401
Mailing address
10232 San Jose BlvdJacksonville, FL 32257
Phone 904-490-7400 · Fax 904-490-7401
Authorized official
Scot N Ackerman
Medical Director
9042603022
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