Organization
ACKERMAN CANCER CENTER, PA
Active
Other names
First Coast Oncology, P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT N ACKERMAN M.D. (PRESIDENT)
(904) 880-5522
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0680444
AETNA HMO
FL
05
—
253854702
—
FL
05
—
300037956C
—
GA
01
—
4643435
AETNA PPO
FL
Enumeration date
07/15/2006
Last updated
07/13/2023
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