# UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UFJP Pathology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134389406
- **Authorized official:** GUY I. BENRUBI (CEO/VICE PRESIDENT)
- **Authorized official phone:** (904) 244-3109

## Contact information

- **Practice address:** 655 W 8TH ST, UFJP PATHOLOGY, JACKSONVILLE, FL 32209-6511
- **Practice address phone:** (904) 244-4218
- **Mailing address:** PO BOX 44008, UFJP PROVIDER ENROLLMENTQ, JACKSONVILLE, FL 32231-4008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | — | NULL | — |
| 207ZC0500X | Cytopathology Physician | — | — | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | NULL | — |
| 207ZD0900X | Dermatopathology (Pathology) Physician | — | — | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | NULL | — |
| 207ZH0000X | Hematology (Pathology) Physician | — | — | — |
| 207ZI0100X | Immunopathology Physician | — | NULL | — |
| 207ZI0100X | Immunopathology Physician | — | — | — |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 11/18/2009