NPIMap

Organization Active NPI

University of Florida College of Medicine

  • Medical Specialty Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1245477991
Registry record updated Jan 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
ARNP1152452 Issued in FL
Legal business name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Practice address
4539 Beach Blvd
Jacksonville, FL 32207-4738
Phone
(904) 633-0300
NPI assigned
Jan 17, 2009
Last updated
Jan 17, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2009

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

Authorized official

Name
Dr. Bruce McIntosh, MD
Title
Department Head, Child Protection T
Phone
(904) 633-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ARNP1152452 FL Primary

Addresses

Primary practice location

4539 Beach Blvd
Jacksonville, FL 32207-4738

Mailing address

4539 Beach Blvd
Jacksonville, FL 32207-4738
Phone (904) 633-0300

Other names 1

  • First Coast Child Protection Team Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
James W Walker MD70 organizations share this tax ID, including this one
Part of
James W Walker MD

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4539 Beach Blvd
Jacksonville, FL 32207
Phone (904) 206-7896

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1232150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232150400000",
    "number": "1245477991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074738",
            "telephone_number": "904-633-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 BEACH BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074738",
            "telephone_number": "904-633-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2009-01-17",
        "last_updated": "2009-01-17",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "DEPARTMENT HEAD, CHILD PROTECTION T",
        "authorized_official_telephone_number": "904-633-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "ARNP1152452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Coast Child Protection Team",
            "code": "4",
            "type": "Former Legal Business 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 Jan 17, 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.