Healthcare Provider Details

I. General information

NPI: 1083644348
Provider Name (Legal Business Name): UMC WEKIVA SPRINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3947 SALISBURY RD NORTH
JACKSONVILLE FL
32216
US

IV. Provider business mailing address

3947 SALISBURY RD NORTH
JACKSONVILLE FL
32216
US

V. Phone/Fax

Practice location:
  • Phone: 904-296-3533
  • Fax: 904-296-3536
Mailing address:
  • Phone: 904-296-3533
  • Fax: 904-296-3536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number4482
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number0416AD897801
License Number StateFL

VIII. Authorized Official

Name: MR. STEVE FEHR
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 407-876-2200