ACKERMAN CANCER CENTER NPI 1093174377

NPI Information

  • NPI: 1093174377
  • Provider Name: ACKERMAN CANCER CENTER
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Doing Business As: ACKERMAN UROLOGY
  • Address: 1895 KINGSLEY AVE
    SUITE 903
    ORANGE PARK, FL
    ZIP 32073
  • Phone: (904) 644-8353

Map and Directions

Get Directions

NPI Details

ACKERMAN CANCER CENTER is an urology in Orange Park, 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 NPI is 1093174377. 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:

1895 KINGSLEY AVE
SUITE 903
ORANGE PARK, FL
ZIP 32073-466
Phone: (904) 644-8353
Fax: (904) 644-8289

The provider's authorized official is Scot Ackerman .
The authorized official title is Authorized Official and has the following contact phone number (904) 880-5522.

The enumeration date for this NPI number is 2/16/2016 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
1208800000XUrologyME92864FLORIDAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.