Organization
FLORIDA PHYSICIAN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL D TERK MD (DIRECTOR)
(904) 309-8680
Entity
Organization
Contact information
Practice address
710 LOMAX ST, SUITE 1, JACKSONVILLE, FL 32204-4004
(904) 483-2310
(904) 483-2313
Mailing address
3599 UNIVERSITY BLVD S, SUITE 805, JACKSONVILLE, FL 32216-4252
(904) 309-8680
(904) 345-5841
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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