FLORIDA PHYSICIAN SPECIALISTS LLC NPI 1932680469

NPI Information

  • NPI: 1932680469
  • Provider Name: FLORIDA PHYSICIAN SPECIALISTS LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED PROSTATE CANCER INSTITUTE
  • CLIA Number: 10D2314420
  • Address: 1860 TOWN HALL CIR
    FLEMING ISLAND, FL
    ZIP 32003
  • Phone: (904) 520-6800

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NPI Details

FLORIDA PHYSICIAN SPECIALISTS LLC is a specialist in Fleming Island, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FLORIDA PHYSICIAN SPECIALISTS LLC NPI is 1932680469. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Prostate Cancer Institute.

The provider's business location address is:

1860 TOWN HALL CIR
FLEMING ISLAND, FL
ZIP 32003-331
Phone: (904) 520-6800
Fax: (904) 520-6801

The provider's authorized official is Meaghan Colleen Lutz .
The authorized official title is Cfo and has the following contact phone number (904) 520-6800.

The CLIA number assigned to this NPI record is 10D2314420 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 12/26/2024.

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
1174400000XSpecialistYes
2332900000XNon-Pharmacy Dispensing SiteNo

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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