Organization
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Active
Other names
UFJP Holmes Trauma
Organization subpart
No
Provider details
NPI number
Authorized official
GUY I. BENRUBI (CEO/VICE PRESIDENT)
(904) 244-3109
Entity
Organization
Contact information
Practice address
1350 S HICKORY ST, UFJP HOLMES TRAUMA, MELBOURNE, FL 32901-3224
(321) 434-7000
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
06/07/2008
Last updated
06/07/2008
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