Florida Proton Therapy Institute Inc

LBN: Florida Proton Therapy Institute Inc
Florida Proton Therapy Institute Inc is an health care organization with primary practice located at 2015 Jefferson St , Jacksonville FL 32206-3531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Florida Proton Therapy Institute Inc can be contacted via phone (904) 588-1263, or through Medenhall, Nancy via phone (904) 588-1263.

Contact Information

Primary practice address
2015 Jefferson St Jacksonville FL 32206-3531
Phone: (904) 588-1263
Fax: (904) 588-1300
Website:
Map and Directions
Authorized official contact:
Name: Medenhall, Nancy Doctor of Medicine (MD)
Phone: (904) 588-1263

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME39054 Florida

Profile Details

NPI number 1891748257
LBN Legal business name Florida Proton Therapy Institute Inc
DBA Doing business as
Authorized official Medenhall, Nancy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Nov 5th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891748257 NPPES
Florida MEDICAID 2771470 00

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