NPIMap

Organization Active NPI

University of Florida

  • Internal Medicine Physician
  • Gainesville, FL
National Provider Identifier
1184706285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF FLORIDA
Practice address
9634 NW 4TH PL
Gainesville, FL 32607-6315
Phone
(352) 392-2877
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joel R. Judah, MD
Title
Fellow
Phone
(352) 392-2877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

9634 NW 4TH PL
Gainesville, FL 32607-6315

Mailing address

9634 NW 4TH PL
Gainesville, FL 32607-6315
Phone (352) 392-2877

Other identifiers 1

IdentifierTypeStateIssuer
6809OtherFLTRN

National Provider Directory

National Provider Directory
Tax ID family
Florida Cinical Practic33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184706285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9634 NW 4TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076315",
            "telephone_number": "352-392-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 NW 4TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076315",
            "telephone_number": "352-392-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JUDAH",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FELLOW",
        "authorized_official_telephone_number": "352-392-2877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRN",
            "identifier": "6809",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.