Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
Active
Other names
UFJP Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
GUY I. BENRUBI (CEO/VICE PRESIDENT)
(904) 244-3109
Entity
Organization
Contact information
Practice address
655 W 8TH ST, UFJP PATHOLOGY, JACKSONVILLE, FL 32209-6511
(904) 244-4218
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENTQ, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
Other
Enumeration date
06/11/2008
Last updated
11/18/2009
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