NPIMap

Organization Active NPI

University of Florida Jacksonville Physicians, Inc.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1235398983
Registry record updated Jun 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.
Practice address
5460 Blanding Blvd Ste 3
Ufjp Anchor Plaza
Jacksonville, FL 32244-1957
Phone
(904) 633-0610
NPI assigned
Jun 7, 2008
Last updated
Jun 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2008

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

Authorized official

Name
Guy I Benrubi, MDNPI 1316912603
Title
Ceo/Vice President
Phone
(904) 244-3109

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X
Addiction Medicine (Family Medicine) Physician 207QA0401X
Adult Medicine Physician 207QA0505X
Geriatric Medicine (Family Medicine) Physician 207QG0300X
Sports Medicine (Family Medicine) Physician 207QS0010X
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X
Pediatric Adolescent Medicine Physician 2080A0000X
Obesity Medicine (Family Medicine) Physician 207QB0002X
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X

Addresses

Primary practice location

5460 Blanding Blvd Ste 3
Ufjp Anchor Plaza
Jacksonville, FL 32244-1957

Mailing address

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

Other names 1

  • UFJP Primary Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040204000616 FL Part B Supplier - Clinic/Group Practice 9133025869 Receives reassigned benefits from 633 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jacksonville, FL; Jacksonville Beach, FL; Macclenny, FL; Orange Park, FL; Ponte Vedra Beach, FL; Winter Haven, FL; Yulee, FL

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory

Locations

5205 Normandy Blvd
Ste 13
Jacksonville, FL 32205
Phone (904) 633-0500

7645 Merrill Rd
Jacksonville, FL 32277
Phone (904) 619-1772

Practitioners & affiliated clinicians

Practitioners 100

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 100

NPI Registry JSON

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

{
    "created_epoch": "1212796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212796800000",
    "number": "1235398983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44008",
            "address_2": "UFJP PRIMARY CARE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314008",
            "telephone_number": "904-244-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 BLANDING BLVD STE 3",
            "address_2": "UFJP ANCHOR PLAZA",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322441957",
            "telephone_number": "904-633-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-07",
        "last_updated": "2008-06-07",
        "status": "A",
        "authorized_official_last_name": "BENRUBI",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO/VICE PRESIDENT",
        "authorized_official_telephone_number": "904-244-3109",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UFJP Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.