Florida Proton Therapy Institute Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

ME39054 Issued in FL

Legal business name

FLORIDA PROTON THERAPY INSTITUTE INC

Practice address

2015 Jefferson St
Jacksonville, FL 32206-3531

Phone

(904) 588-1263

Fax

(904) 588-1300

NPI assigned

May 18, 2006

Last updated

Dec 5, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nancy Medenhall, MD

Title

Director, Active, Attending

Phone

(904) 588-1401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Ann Bradley, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1588837793
  Medicare reassignment Care Compare group NPD
• Curtis Michael Bryant, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1962662775
  Medicare reassignment Care Compare group NPD
• Teena Maria Burchianti, ARNP

  • Adult Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1649230301
  Medicare reassignment Care Compare group NPD
• Roi Dagan, M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1952508491
  Medicare reassignment Care Compare group NPD
• Jacey Daniel Hebert, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1891677894
  Medicare reassignment Care Compare group NPD
• Daniel J Indelicato, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1356431688
  Medicare reassignment Care Compare group NPD
• Kerri Copeland Jarrell, ARPN

  • Gerontology Nurse Practitioner
  • Jacksonville, FL
  • NPI 1013349604
  Medicare reassignment Care Compare group NPD
• Samuel R. Jean-Baptiste, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1992265557
  Medicare reassignment Care Compare group NPD
• Nancy P. Mendenhall, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1407817927
  Medicare reassignment Care Compare group NPD
• William M. Mendenhall, MD

  • Radiation Oncology Physician
  • Gainesville, FL
  • NPI 1528020708
  Medicare reassignment Care Compare group NPD
• Romaine Charles Nichols Jr., M.D.

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1679555270
  Medicare reassignment Care Compare group NPD
• Lucas Gomes Sapienza, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1497316640
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1891748257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063531",
            "telephone_number": "904-588-1401",
            "fax_number": "904-588-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JEFFERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322063531",
            "telephone_number": "904-588-1263",
            "fax_number": "904-588-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA PROTON THERAPY INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "MEDENHALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR, ACTIVE, ATTENDING",
        "authorized_official_telephone_number": "904-588-1401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME39054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Physician Specialists LLC (Kasraeian Urology)
• Florida Physician Specialists LLC
• Florida Physician Specialists LLC
• Florida Physician Specialists LLC (McIver Urological Clinic)
• Florida Physicians & Research Assoc
• Florida Psychiatry and Wellness, PLLC
• Florida PT Services LLC
• Florida Regional Pain Management, PA
• Florida Seizure Doc PLLC (Neuro Doc)
• Florida Sleep Solutions Inc

• Radiation Oncology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Radiation Oncology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.