Organization
ACKERMAN CANCER CENTER, PA
Active
Parent organization
ACKERMAN CANCER CENTER, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACKERMAN CANCER CENTER, PA
Authorized official
SCOT ACKERMAN MD (AUTHORIZED OFFICIAL)
(904) 880-5522
Entity
Organization
Contact information
Practice address
520 W TWINCOURT TRL STE 4-5, ST AUGUSTINE, FL 32095-8987
(904) 880-5522
Mailing address
PO BOX 37016, TAMPA, FL 33631-9016
(904) 880-5522
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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