| NPI | 1407885502 |
|---|---|
| Former Legal Business Name | FIRST COAST ONCOLOGY, P.A. |
| Entity Type | Organization |
| Authorized Contact | SCOT N ACKERMAN President 904-866-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-07-13 |