NPIMap

Organization Active NPI

University of North Florida Student Medical Service

  • Student Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1730418641
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
3060732 Issued in FL
Legal business name
UNIVERSITY OF NORTH FLORIDA STUDENT MEDICAL SERVICE
Practice address
1 Unf Drive
Building 39a Room 2098
Jacksonville, FL 32224-7699
Phone
(904) 620-2900
Fax
(904) 620-2902
NPI assigned
Dec 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Authorized official

Name
Dr. Frederick Beck, MD
Title
Medical Director
Phone
(904) 620-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 3060732 FL Primary

Addresses

Primary practice location

1 Unf Drive
Building 39a Room 2098
Jacksonville, FL 32224-7699

Mailing address

1 Unf Dr
Jacksonville, FL 32224-7699
Phone (904) 620-2900

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0869274University of North Florida Student Health1 Unf Drive BLDG 39a Room 2098, Jacksonville, FL 32224Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory

Locations

1 Unf Dr
Jacksonville, FL 32224
Phone (904) 620-1000

1 Unf Dr
Bldg 39A
Jacksonville, FL 32224
Phone (904) 620-2900

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1730418641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNF DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247699",
            "telephone_number": "904-620-2900",
            "fax_number": "904-620-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNF DRIVE",
            "address_2": "BUILDING 39A ROOM 2098",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247699",
            "telephone_number": "904-620-2900",
            "fax_number": "904-620-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF NORTH FLORIDA STUDENT MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "904-620-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "FL",
            "license": "3060732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.