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Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Active
Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Active
Other names
UFJP Primary Care Nassau
Organization subpart
No
Provider details
NPI number
Authorized official
GUY I. BENRUBI (CEO/VICE PRESIDENT)
(904) 244-3109
Entity
Organization
Contact information
Practice address
851042 US HIGHWAY 17, UFJP YULEE FAMILY PRACTICE, YULEE, FL 32097-2845
(904) 633-0670
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
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
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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