UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC (NPI# 1649430919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649430919 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC |
| Practice Address |
655 W 8th St Jacksonville FL 32209-6511 |
| Mailing Address |
Po Box 44008 Ufjp Provider Enrollment Jacksonville FL 32231-4008 |
| Practice Telephone | 9042443660 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2010-11-20 |
| Authorized Official Name | GUY I BENRUBI (CEO/VICE PRESIDENT) |
| Authorized Official Telephone | 9042443109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0214X |
Pediatrics Specialization: Pediatric Pulmonology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 3739783-02 | 05 | |
| FL | 3766985-23 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1962895326 | University of Florida Jacksonville Physicians Inc | Nurse Practitioner | 15255 Max Leggett Pkwy Ste 4600, Ufjp - Uf Health Birth Center, Jacksonville, FL 32218-7213 | 2015-03-10 |
| 1407016645 | University of Florida Jacksonville Physicians Inc | Clinical Medical Laboratory | 655 W 11th St, Jacksonville, FL 32206-3516 | 2008-06-11 |
| 1265693279 | University of Florida Jacksonville Physicians Inc | Emergency Medicine | 655 W 8th St, Ufjp Emergency Medicine, Jacksonville, FL 32209-6511 | 2008-06-23 |
| 1699935965 | University of Florida Jacksonville Physicians Inc | Anesthesiology | 655 W 8th St, Ufjp Anesthesia Dept., Jacksonville, FL 32209-6511 | 2008-06-11 |
| 1730349002 | University of Florida Jacksonville Physicians Inc | Internal Medicine | 655 W 8th St, Ufjp Gastroenterology, Jacksonville, FL 32209-6511 | 2008-06-11 |
| 1962662239 | University of Florida Jacksonville Physicians Inc | Internal Medicine | 655 W 8th St, Ufjp Critical Care, Jacksonville, FL 32209-6511 | 2008-06-11 |
| 1316107683 | University of Florida Jacksonville Physicians Inc | Internal Medicine | 655 W 8th St, Ufjp Hematology-oncology, Jacksonville, FL 32209-6511 | 2008-06-11 |
| 1225298599 | University of Florida Jacksonville Physicians Inc | Neurological Surgery | 580 W 8th St, Ufjp Neurosurgery, Jacksonville, FL 32209-6533 | 2008-06-11 |
| 1558521823 | University of Florida Jacksonville Physicians Inc | Psychiatry & Neurology | 655 W 8th St, Ufjp Psychiatry, Jacksonville, FL 32209-6511 | 2008-06-11 |
| Street Address |
655 W 8TH ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209-6511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770586828 | Ghaith Mitri | Internal Medicine | 655 W 8th St, Ufjp Rheumatology Dept., Jacksonville, FL 32209-6511 | 2005-05-23 |
| 1386242253 | Keivan Tavakoli | General Practice | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-10-13 |
| 1013522473 | Jacquelyn Hill | Nurse Practitioner | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-12 |
| 1346854346 | Whitney O'brien | Dietitian, Registered | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-09-07 |
| 1548873318 | Kelly Huston | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-31 |
| 1427669423 | Dianna Louise Tompkins | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-08-12 |
| 1235748021 | Treasure Victoria Bright | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-28 |
| 1003424656 | Christopher Fuller | Physical Therapist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-20 |
| 1922616051 | Katie Reel | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-15 |
| 1437767688 | Bethany Pope | Pharmacist | 655 W 8th St, Jacksonville, FL 32209-6511 | 2020-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831641562 | Deanna Seymour | Pediatrics | 807 Childrens Way, Jacksonville, FL 32207-8426 | 2016-10-28 |
| 1902131147 | Laura Fallgatter | Pediatrics | 910 N Jefferson St, Jacksonville, FL 32209-6810 | 2009-10-06 |
| 1174792535 | Karen Lebrecht | Pediatrics | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2008-02-29 |
| 1144429432 | Trisha Vanbrederode Kee | Pediatrics | 12276 San Jose Blvd, Suite 507, Jacksonville, FL 32223-8628 | 2007-07-16 |
| 1164540092 | Candace Moseley | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-27 |
| 1518085307 | Jerilyn Jones | Pediatrics | 12276 San Jose Blvd, Ste 507, Jacksonville, FL 32223-8628 | 2007-03-27 |
| 1922126713 | Kathleen Lathram | Pediatrics | 12276 San Jose Blvd, Ste 507, Jacksonville, FL 32223-8628 | 2007-03-27 |
| 1013035815 | Bridget Sharrar | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-27 |
| 1215054366 | Tenee Holland | Pediatrics | 12276 San Jose Blvd Ste 507, Jacksonville, FL 32223-8618 | 2007-03-23 |
| 1851440333 | Joseph Pesek IIi | Pediatrics | 4600 Beach Blvd, Jacksonville, FL 32207-4764 | 2007-01-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
Please comment or provide details below to improve the information on UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.