Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Florida Proton Therapy Institute Inc

Organization Radiation Oncology Physician · NPI 1891748257

Florida Proton Therapy Institute Inc provides Radiation Oncology Physician services in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2015 Jefferson St
Jacksonville, FL 32206-3531
Phone: (904) 588-1263
Fax: (904) 588-1300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence ME39054 (FL)

Record details

NPI number1891748257
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Medenhall — Director, Active, Attending · (904) 588-1401
NPI enumeratedMay 18, 2006
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address2015 Jefferson St, Jacksonville, FL 32206-3531

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