Organization
FLORIDA PHYSICIAN SPECIALISTS LLC
Active
Parent organization
FLORIDA PHYSICIAN SPECIALISTS LLC
Other names
Advanced Prostate Cancer Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
FLORIDA PHYSICIAN SPECIALISTS LLC
Authorized official
MEAGHAN COLLEEN LUTZ (CFO)
(904) 520-6800
Entity
Organization
Contact information
Practice address
1860 TOWN HALL CIR, FLEMING ISLAND, FL 32003-4331
(904) 520-6800
(904) 520-6801
Mailing address
7017 A C SKINNER PKWY, JACKSONVILLE, FL 32256-6932
(904) 520-6800
(904) 520-6801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
08/23/2018
Last updated
12/26/2024
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