# UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

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

## Provider details

- **NPI number:** 1437318086
- **Authorized official:** GUY I. BENRUBI (CEO/VICE PRESIDENT)
- **Authorized official phone:** (904) 244-3109

## Contact information

- **Practice address:** 1350 S HICKORY ST, UFJP HOLMES TRAUMA, MELBOURNE, FL 32901-3224
- **Practice address phone:** (321) 434-7000
- **Mailing address:** PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
- **Mailing address phone:** (904) 244-3660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2008
- **Last updated:** 06/07/2008
