University Clinic

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

06776 Issued in FL

Legal business name

UNIVERSITY CLINIC

Practice address

2535 University Blvd W
Jacksonville, FL 32217-2003

Phone

(904) 367-8686

NPI assigned

Aug 29, 2009

Last updated

Aug 29, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen Damasco

Title

Manager

Phone

(904) 367-8686

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1164655767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56164",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322416164",
            "telephone_number": "904-367-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172003",
            "telephone_number": "904-367-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "DAMASCO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-367-8686"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "06776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379300100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Universal Family Health Services, Inc.
• Universal Family Wellness Care Center, Inc.
• Universal Kidney Care LLC
• Universal Neurological Care
• Universal Neurological Care PA
• University Eye Center, LLC (UNF Eye Center)
• University of FL Jacksonville
• University of FL. Jacksonville
• University of Florida at Jacksonville
• University of Florida College of Medicine

• Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.