Organization Name: | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. |
NPI Number: | 1518126168 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GUY I. BENRUBI (CEO/VICE PRESIDENT) |
Mailing Address: | 851042 Us Highway 17 Ufjp Yulee Family Practice Yulee |
State: | FL US |
Postal Code: | 320972845 |
Phone Number: | 9046330670 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2008 |
NPI Last Update Date: | 06/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |