Individual
SCOT N ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223-6612
(904) 880-5522
(904) 880-5533
Mailing address
10881 SAN JOSE BLVD, JACKSONVILLE, FL 32223-6612
(904) 880-5522
(904) 880-5533
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME52956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00457553A
—
GA
01
—
08427
HEALTHEASE
FL
01
—
140375200
CIGNA
FL
01
—
206922
AVMED
FL
01
—
28751
WELLCARE
FL
01
—
300019643
RAILROAD MEDICARE
FL
01
—
3602303
UNITED HEALTHCARE
FL
05
—
379520900
—
FL
01
—
4000116
G H I
FL
Enumeration date
06/14/2005
Last updated
07/13/2023
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