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Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
Active
Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
Active
Other names
UFJP Dental -Oral Max
Organization subpart
No
Provider details
NPI number
Authorized official
GUY I. BENRUBI (CEO/VICE PRESIDENT)
(904) 244-3109
Entity
Organization
Contact information
Practice address
653 W 8TH ST, UFJP DENTAL - ORAL MAX, JACKSONVILLE, FL 32209-6511
(904) 244-3660
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/11/2008
Last updated
01/22/2026
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