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University of Florida Jacksonville Physicians Inc

Organization Active NPI Pulmonary Disease Physician · Jacksonville, FL

NPI 1104086479 · NPPES record last updated Jun 11, 2008

Key facts

NPI
1104086479
Entity type
Organization (NPI type 2)
Primary specialty
Pulmonary Disease Physician 207RP1001X
Legal business name
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
Practice address
655 W 8TH St
Ufjp Pulmonary
Jacksonville, FL 32209-6511
Phone
(904) 244-3660
NPI assigned
Jun 11, 2008
Organization subpart
No

Authorized official

Name
Guy I Benrubi
Title
Ceo/Vice President
Phone
(904) 244-3109

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 17

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 919

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 919

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in FL

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Florida Jacksonville Physicians, Inc.
Saint Marys, GA · CCN 118918		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 3, 2014

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040128000786 FL Part B Supplier - Clinic/Group Practice 9133025869 Receives reassigned benefits from 1,545 practitioners
17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20080512000528 FL Part B Supplier - Clinic/Group Practice 9133025869 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Jacksonville, FL

National Provider Directory

Tax ID family
University Florida JSCK (70 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207RC0200X
Pulmonary Disease Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207RP1001X Yes

Addresses

Primary practice location

655 W 8TH St
Ufjp Pulmonary
Jacksonville, FL 32209-6511

Mailing address

PO Box 44008
Ufjp Provider Enrollment
Jacksonville, FL 32231-4008
Phone (904) 244-3660

Other names

  • UFJP Pulmonary Other name

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Pulmonary Disease Physician in Florida

Sources for this page

Verify at the official NPI Registry.