ADVANCED PROSTATE CANCER INSTITUTE
NPI 1932680469
Specialist in Fleming Island, FL

Active since August 23, 2018CLIA 10D2314420 · Waiver
1860 TOWN HALL CIR, FLEMING ISLAND, FL 32003(904) 520-6800(904) 520-6801 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 26, 2024, Jul 16, 2024, Aug 23, 2018 (3 updates tracked since 2018).

About Advanced Prostate Cancer Institute NPPES

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

ADVANCED PROSTATE CANCER INSTITUTE (NPI 1932680469) is a healthcare organization registered as a specialist in Fleming Island, Florida and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Meaghan Colleen Lutz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1932680469
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFLORIDA PHYSICIAN SPECIALISTS LLC
Location Address1860 TOWN HALL CIRFleming Island, FL 32003-4331
Mailing Address7017 A C Skinner PkwyJacksonville, FL 32256-6932 · (904) 520-6800 · Fax (904) 520-6801
Fax(904) 520-6801
Organization SubpartYes
Authorized OfficialMeaghan Colleen LutzCfo · (904) 520-6800
Enumeration DateAugust 23, 2018
Last NPPES UpdateDecember 26, 20243 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1932680469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X
1860 TOWN HALL CIR, Fleming Island, FL 32003

Other Names 1

Doing Business AsAdvanced Prostate Cancer Institute

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

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 Waiver 10D2314420

Florida Physician Specialists LLC · Fleming Island, FL
Active · expires Nov 19, 2026
CLIA Number10D2314420
Laboratory TypePhysician Office
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorChristopher Moore
Laboratory Phone(904) 355-6083
Laboratory LocationFlorida Physician Specialists LLC1860 Town Hall Cir, Fleming Island, FL 32003
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1932680469. It was assigned to this organization in the NPPES registry on August 23, 2018. The provider is doing business as Advanced Prostate Cancer Institute.

Where is Florida Physician Specialists LLC located?

Florida Physician Specialists LLC is located at 1860 Town Hall Cir, Fleming Island, FL 32003. The listed phone number is (904) 520-6800.

What is Florida Physician Specialists LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Florida Physician Specialists LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2314420) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Florida Physician Specialists LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers 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 December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.