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Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Active
Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Active
Other names
UFJP Holmes Trauma
Organization subpart
No
Provider details
NPI number
Authorized official
GUY I. BENRUBI (CEO/VICE PRESIDENT)
(904) 244-3109
Entity
Organization
Contact information
Practice address
1350 S HICKORY ST, UFJP HOLMES TRAUMA, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
NULL
207XX0801X
Orthopaedic Trauma Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
NULL
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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