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Organization
UNIVERSITY OF FL. JACKSONVILLE
Active
Organization
UNIVERSITY OF FL. JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY I BENRUBI M.F. (CEO)
(904) 244-3131
Entity
Organization
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
(904) 798-4544
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055012401
—
FL
Enumeration date
09/18/2008
Last updated
09/18/2008
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