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Organization

UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC

Active
Other names
UFJP Gastroenterology
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 GASTROENTEROLOGY, 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
207RB0002X
Obesity Medicine (Internal Medicine) Physician
207RG0100X
Gastroenterology Physician
Primary
2080P0206X
Pediatric Gastroenterology Physician

Other

Enumeration date
06/11/2008
Last updated
06/11/2008
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