Organization · Type 2 NPI

Ackerman Cancer Center, PA

Urology Physician · St. Augustine, FL

NPI number 1912786963 Active

Practice location

533 W Twincourt Trl Ste 701
St. Augustine, FL 32095-8884

Mailing address

10881 San Jose Blvd
Jacksonville, FL 32223-6612

Specialties and licenses

TaxonomyCodeLicense
Radiation Oncology Physician 2085R0001XNone listed
Urology Physician Primary 208800000XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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About NPI 1912786963

Ackerman Cancer Center, PA's National Provider Identifier is 1912786963, issued on Sep 27, 2023. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in St. Augustine, FL. The record was last updated on Jan 22, 2024.