Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ackerman Cancer Center, PA

Organization Radiation Oncology Physician · NPI 1912786963

Ackerman Cancer Center, PA is a Radiation Oncology Physician in St Augustine, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

533 W Twincourt Trl Ste 701
St Augustine, FL 32095-8884
Phone: (904) 490-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X
Radiation Oncology Physician Taxonomy 2085R0001X

Record details

NPI number1912786963
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scot Ackerman — Owner · (904) 880-5522
NPI enumeratedSeptember 27, 2023
Last updated in NPPESJanuary 22, 2024
Certification dateJanuary 22, 2024
Mailing address10881 San Jose Blvd, Jacksonville, FL 32223-6612

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