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FLORIDA PHYSICIAN SPECIALISTS LLC NPI 1588917108


NPI Information

NPI: 1588917108
Provider Name: FLORIDA PHYSICIAN SPECIALISTS LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
710 LOMAX ST
SUITE 1
JACKSONVILLE, FL
ZIP 32204
Phone: (904) 483-2310
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FLORIDA PHYSICIAN SPECIALISTS LLC is a radiation oncology radiology in Jacksonville, FL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. FLORIDA PHYSICIAN SPECIALISTS LLC NPI is 1588917108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 LOMAX ST
SUITE 1
JACKSONVILLE, FL
ZIP 32204-004
Phone: (904) 483-2310
Fax: (904) 483-2313

The provider's authorized official is Mitchell D Terk .
The authorized official title is Director and has the following contact phone number (904) 309-8680.

The enumeration date for this NPI number is 10/19/2012 and was last updated on 10/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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