Organization
UNIVERSITY OF FLORIDA JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY I BENRUBI M.D. (CEO)
(904) 244-3131
Entity
Organization
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
(904) 798-4544
Mailing address
PO BOX 44008, JACKSONVILLE, FL 32231-4008
(904) 244-3131
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055012402
—
FL
Enumeration date
09/30/2008
Last updated
09/30/2008
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