ACKERMAN CANCER CENTER PA NPI 1013542919

NPI Information

  • NPI: 1013542919
  • Provider Name: ACKERMAN CANCER CENTER, PA
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: ACKERMAN UROLOGY
  • CLIA Number: 10D2085724
  • Address: 10232 SAN JOSE BLVD
    JACKSONVILLE, FL
    ZIP 32257
  • Phone: (904) 490-7400

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NPI Details

ACKERMAN CANCER CENTER, PA is an urology in Jacksonville, FL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ACKERMAN CANCER CENTER, PA NPI is 1013542919. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ackerman Urology.

The provider's business location address is:

10232 SAN JOSE BLVD
JACKSONVILLE, FL
ZIP 32257
Phone: (904) 490-7400
Fax: (904) 490-7401

The provider's authorized official is Scot N Ackerman .
The authorized official title is Medical Director and has the following contact phone number (904) 260-3022.

The CLIA number assigned to this NPI record is 10D2085724 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2020 and was last updated on 7/13/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

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: 11/21/2025

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