FLORIDA PROTON THERAPY INSTITUTE INC
NPI 1891748257
Radiology - Radiation Oncology in Jacksonville, FL

Q: What is Florida Proton Therapy Institute Inc's NPI number?

The NPI number for Florida Proton Therapy Institute Inc is 1891748257. It was assigned to this organization in the NPPES registry on May 18, 2006.

Q: What is Florida Proton Therapy Institute Inc's specialty?

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

Active since May 18, 2006

2015 JEFFERSON ST, JACKSONVILLE, FL 32206(904) 588-1263(904) 588-1300 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Nov 5, 2019 (2 updates tracked since 2019).

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About Florida Proton Therapy Institute Inc NPPES

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

FLORIDA PROTON THERAPY INSTITUTE INC (NPI 1891748257) is a healthcare organization registered as a radiation oncology in Jacksonville, Florida and active in the NPI registry since May 2006. The organization lists Nancy Medenhall, Director, Active, Attending, as its authorized official.

NPPES Registry Identity

NPI1891748257

Entity TypeOrganization

Primary Taxonomy2085R0001X

Legal Business NameFLORIDA PROTON THERAPY INSTITUTE INC

Location Address2015 JEFFERSON STJacksonville, FL 32206-3531

Mailing Address2015 Jefferson StJacksonville, FL 32206-3531 · (904) 588-1401 · Fax (904) 588-1437

Phone(904) 588-1263

Fax(904) 588-1300

Organization SubpartNo

Authorized OfficialNancy MedenhallDirector, Active, Attending · (904) 588-1401

Enumeration DateMay 18, 2006

Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1891748257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in FL · ME39054

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.

2015 JEFFERSON ST, Jacksonville, FL 32206

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Other Identifiers 1

Medicaid2771470 00FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Other Providers at the Same Location NPPES 13

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

HARDEV GREWAL

Radiology (Radiological Physics)