# UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UFJP Dental -Oral Max
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689834954
- **Authorized official:** GUY I. BENRUBI (CEO/VICE PRESIDENT)
- **Authorized official phone:** (904) 244-3109

## Contact information

- **Practice address:** 653 W 8TH ST, UFJP DENTAL - ORAL MAX, JACKSONVILLE, FL 32209-6511
- **Practice address phone:** (904) 244-3660
- **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 |
| --- | --- | --- | --- | --- |
| 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) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 01/22/2026