MEDICARE: UNIVERSAL FAMILY HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	342000000X	Transportation Network Company
2	343800000X	Secured Medical Transport (VAN)
3	343900000X	Non-emergency Medical Transport (VAN)
4	261QS1200X	Sleep Disorder Diagnostic Clinic/Center

General Provider Information

NPI Number	:	1720776230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL FAMILY HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	4319 SALISBURY ROAD
Second Line	:	SUITE 103
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216
Country	:	US
Telephone Number	:	484-844-5959
Fax Number	:	720-600-0873

Provider Business Practice Location Address
First Line	:	4319 SALISBURY ROAD
Second Line	:	SUITE 103
City	:	JACKSONVILLE
State	:	FL
Zip	:	32216
Country	:	US
Telephone Number	:	484-844-5959
Fax Number	:	720-600-0873

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	MR. VLADIMIR MARCELIN
Credential	:
Telephone Number	:	484-844-5959

Provider Enumeration Date	:	04/24/2023
Last Update Date	:	01/04/2024

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