FLORIDA PHYSICIAN SPECIALISTS LLC (NPI# 1033544390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033544390 |
| Entity Type | Organization |
| Organization Name | FLORIDA PHYSICIAN SPECIALISTS LLC |
| Practice Address |
7017 A C Skinner Pkwy Jacksonville FL 32256-6932 |
| Mailing Address |
3599 University Blvd S Suite 907 Jacksonville FL 32216-4252 |
| Practice Telephone | 9044832310 |
| Practice Fax Number | 9044832313 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | MITCHELL D TERK (DIRECTOR) |
| Authorized Official Telephone | 9044832310 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932680469 | Florida Physician Specialists LLC | Non-Pharmacy Dispensing Site | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2018-08-23 |
| 1437495868 | Florida Physician Specialists LLC | Urology | 836 Prudential Drive, Suite 1606, Jacksonville, FL 32207-8343 | 2012-12-12 |
| 1083959563 | Florida Physician Specialists LLC | Urology | 6269 Beach Blvd, Suite 2, Jacksonville, FL 32216-2768 | 2012-12-10 |
| 1316282478 | Florida Physician Specialists LLC | Urology | 3550 University Blvd S, Suite 202, Jacksonville, FL 32216-4246 | 2012-11-30 |
| 1932444254 | Florida Physician Specialists LLC | Urology | 1715 Village Way, Orange Park, FL 32073-5263 | 2012-11-28 |
| 1619221637 | Florida Physician Specialists LLC | Urology | 710 Lomax St, Jacksonville, FL 32204-4004 | 2012-10-29 |
| 1588917108 | Florida Physician Specialists LLC | Radiology | 710 Lomax St, Suite 1, Jacksonville, FL 32204-4004 | 2012-10-19 |
| Street Address |
7017 A C SKINNER PKWY |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32256-6932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760021950 | Tessa Davenport Mata | Physician Assistant | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2020-01-05 |
| 1275172231 | Bayli Briana Beach | Physician Assistant | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2019-12-22 |
| 1932680469 | Florida Physician Specialists LLC | Non-Pharmacy Dispensing Site | 7017 A C Skinner Pkwy, Jacksonville, FL 32256-6932 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890464 | Alice Sanchez | Dietitian, Registered | 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 | 2020-11-01 |
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1538787866 | Tywanna Council | Massage Therapist | 4720 Salisbury Road #102, Jacksonville, FL 32256 | 2020-07-13 |
| 1275155368 | Christy Orellana | Social Worker | 5011 Gate Parkway Bldg 100 Suite 100, Jacksonville, FL 32256 | 2020-05-11 |
| 1376175117 | Diane Stover | Case Manager/Care Coordinator | 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 | 2020-02-10 |
| 1982235859 | Sandra Josefina Baez Nunez | Nurse Practitioner | 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 | 2020-01-30 |
| 1205476496 | Point Meadows Dental Center, Inc. | Dentist | 10915 Baymeadows Rd, #106, Jacksonville, FL 32256 | 2020-01-15 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1003472499 | Dade Medical, Inc. | Durable Medical Equipment & Medical Supplies | 9143 Philips Highway Suite 270, Jacksonville, FL 32256 | 2019-05-13 |
| 1003479726 | Nichole Bashara | Behavior Technician | 8383 Baymeadows Rd, Jacksonville, FL 32256 | 2019-04-18 |
| Find all providers in zip 32256 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962662775 | Curtis Michael Bryant | Radiology | 2015 Jefferson Street, University of Florida Proton Institute, Jacksonville, FL 32206 | 2008-06-15 |
| 1275791055 | Bradford Scott Hoppe | Radiology | 4500 San Pablo Rd, Jacksonville, FL 32224 | 2008-05-28 |
| 1023282456 | Jacksonville Radiation Therapy Services LLC | Radiology | 7751 Baymeadows Road E, Jacksonville, FL 32256 | 2008-04-16 |
| 1033213038 | Jacksonville Oncology Institute Limited | Radiology | 567 N Westgate Ave, Jacksonville, IL 62650-1156 | 2006-09-11 |
| 1689630949 | Mark Emerson Augspurger | Radiology | 14546 Old Saint Augustine Rd Ste 105, Jacksonville, FL 32258-5469 | 2006-04-25 |
| 1245296904 | Ahmed M Akl | Radiology | 7015 A C Skinner Pkwy Bldg 100, Jacksonville, FL 32256-6932 | 2006-04-21 |
| 1649231291 | Randal Hollis Henderson | Radiology | 2015 N. Jefferson St., Jacksonville, FL 32206 | 2006-03-31 |
| 1679555270 | Romaine Charles Nichols Jr. | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2005-11-18 |
| 1972508299 | Paul B Ossi | Radiology | 10881 San Jose Blvd, Jacksonville, FL 32223-6612 | 2005-06-14 |
| 1801420211 | Wen Shen Looi | Radiology | 2015 Jefferson St, Jacksonville, FL 32206-3531 | 2020-02-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.