| NPI | 1134145659 |
|---|---|
| Former Legal Business Name | FIRST COAST ONCOLOGY, P.A. |
| Entity Type | Organization |
| Authorized Contact | SCOT N ACKERMAN President 904-880-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2023-07-13 |