FLORIDA PHYSICIAN SPECIALISTS LLC
NPI 1588917108
Radiology - Radiation Oncology in Jacksonville, FL

Q: What is Florida Physician Specialists LLC's NPI number?

The NPI number for Florida Physician Specialists LLC is 1588917108. It was assigned to this organization in the NPPES registry on October 19, 2012.

Q: What is Florida Physician Specialists LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Active since October 19, 2012CLIA 10D2080975 · Certificate of Compliance

710 LOMAX ST, SUITE 1, JACKSONVILLE, FL 32204(904) 483-2310(904) 483-2313 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Florida Physician Specialists Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA PHYSICIAN SPECIALISTS LLC (NPI 1588917108) is a healthcare organization registered as a radiation oncology in Jacksonville, Florida and active in the NPI registry since October 2012. The organization holds a CLIA Certificate of Compliance certificate valid through March 13, 2028 and lists Mitchell D Terk, Director, as its authorized official.

NPPES Registry Identity

NPI1588917108

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameFLORIDA PHYSICIAN SPECIALISTS LLC

Location Address710 LOMAX ST, SUITE 1Jacksonville, FL 32204-4004

Mailing Address3599 University Blvd S, Suite 805Jacksonville, FL 32216-4252 · (904) 309-8680 · Fax (904) 345-5841

Phone(904) 483-2310

Fax(904) 483-2313

Organization SubpartNo

Authorized OfficialMitchell D TerkDirector · (904) 309-8680

Enumeration DateOctober 19, 2012

✔ NPI 1588917108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

710 LOMAX ST, Jacksonville, FL 32204

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2080975

Florida Physician Specialists LLC · Jacksonville, FL

Active · expires Mar 13, 2028

CLIA Number10D2080975

Laboratory TypePhysician Office

Certificate Effective DateMarch 14, 2026

Certificate Expiration DateMarch 13, 2028

Laboratory DirectorTroy Hampton

Laboratory Phone(904) 355-6583

Laboratory LocationFlorida Physician Specialists LLC710 Lomax St, Jacksonville, FL 32204

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE HOLLINGSWORTH PA-C, ATC

Physician Assistant