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Organization

ACKERMAN CANCER CENTER, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOT ACKERMAN MD (OWNER)
(904) 880-5522
Entity
Organization

Contact information

Practice address
533 W TWINCOURT TRL STE 701, ST AUGUSTINE, FL 32095-8884
(904) 490-7400
Mailing address
10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223-6612
(908) 880-5522

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
208800000X
Urology Physician
Primary

Other

Enumeration date
09/27/2023
Last updated
01/22/2024
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