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Organization

UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC

Active
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Organization

UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC

Active
Other names
UFJP CHFM
Organization subpart
No

Provider details

NPI number
Authorized official
GUY I BENRUBI (CEO/VICE PRESIDENT)
(904) 244-3109
Entity
Organization

Contact information

Practice address
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER, JACKSONVILLE, FL 32208-3550
(904) 383-1001
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—

Other

Enumeration date
06/11/2008
Last updated
11/18/2009
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