# UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UFJP Primary Care Nassau
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518126168
- **Authorized official:** GUY I. BENRUBI (CEO/VICE PRESIDENT)
- **Authorized official phone:** (904) 244-3109

## Contact information

- **Practice address:** 851042 US HIGHWAY 17, UFJP YULEE FAMILY PRACTICE, YULEE, FL 32097-2845
- **Practice address phone:** (904) 633-0670
- **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 |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

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