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

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: October 18, 2026.

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Florida Physician Specialists Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

44

Medicare enrollment records show 44 clinicians reassign Medicare billing to Florida Physician Specialists LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Urology27
Nurse Practitioner9
Pathology4
Radiation Oncology2
Diagnostic Radiology1
Nuclear Medicine1

Nearest to this location (20)

See all 44
Urology
NPI 1083752000
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1316088107
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOSSame address
Urology
NPI 1245371095
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1770604548
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1144361908
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1588705354
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1477915775
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528885704
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730071978
710 LOMAX ST
Jacksonville, FL 32204
(904) 355-6583
✔ PECOS✔ Accepts MedicareSame address
Radiation Oncology
NPI 1366409021
710 LOMAX ST SUITE 1
Jacksonville, FL 32204
(904) 483-2310
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1508824228
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 202-1347
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1023699311
425 N LEE ST
Jacksonville, FL 32204
(904) 427-1200
✔ PECOS✔ Accepts Medicare1.5 mi
Urology
NPI 1568452126
3550 UNIVERSITY BLVD S SUITE 202
Jacksonville, FL 32216
(904) 730-2553
✔ PECOS4.9 mi
Diagnostic Radiology
NPI 1972701001
3599 UNIVERSITY BLVD. S. BLDG. 300
Jacksonville, FL 32216
(904) 399-5550
✔ PECOS✔ Accepts Medicare5.0 mi
Nurse Practitioner
NPI 1104397793
3625 UNIVERSITY BLVD S
Jacksonville, FL 32216
(904) 861-5111
✔ PECOS✔ Accepts Medicare5.0 mi
Urology
NPI 1427075399
3599 UNIVERSITY BLVD S SUITE 905
Jacksonville, FL 32216
(904) 355-6583
✔ PECOS5.2 mi
Urology
NPI 1659374320
6269 BEACH BLVD STE 2
Jacksonville, FL 32216
(904) 727-7955
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1336213271
6269 BEACH BLVD SUITE 2
Jacksonville, FL 32216
(904) 727-7955
✔ PECOS✔ Accepts Medicare5.2 mi
Urology
NPI 1841586120
2080 CHILD ST DEPT 5000
Jacksonville, FL 32214
(904) 542-7488
✔ PECOS✔ Accepts Medicare7.2 mi
Nurse Practitioner
NPI 1265027817
4266 SUNBEAM RD
Jacksonville, FL 32257
(904) 407-7700
✔ PECOS✔ Accepts Medicare8.7 mi
See all 44 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Florida Physician Specialists LLC located?

Florida Physician Specialists LLC is located at 710 Lomax St Suite 1, Jacksonville, FL 32204. The listed phone number is (904) 483-2310.

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.

Is Florida Physician Specialists LLC enrolled in Medicare?

Yes. Florida Physician Specialists LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Florida Physician Specialists LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 44 clinicians in 6 Medicare specialties reassign their Medicare billing to Florida Physician Specialists LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (27), Nurse Practitioner (9) and Pathology (4). Of these, 10 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Florida Physician Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2080975) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Physician Specialists LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Physician Specialists LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Physician Specialists LLC was last updated on October 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.