Organization
ACKERMAN CANCER CENTER, P.A.
Active
Other names
First Coast Oncology, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT N ACKERMAN M.D. (PRESIDENT)
(904) 880-5522
Entity
Organization
Contact information
Practice address
1340 S 18TH ST, SUITE 103, FERNANDINA BEACH, FL 32034-4799
(904) 277-2700
(904) 277-2220
Mailing address
1340 S 18TH ST, SUITE 103, FERNANDINA BEACH, FL 32034-4799
(904) 277-2700
(904) 277-2220
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0680444
AETNA HMO
FL
05
—
253854703
—
FL
05
—
300037956E
—
GA
01
—
4643435
AETNA PPO
FL
Enumeration date
07/15/2006
Last updated
07/13/2023
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