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General NPI Number Information
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NPI Number | 1740836048
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
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Dates
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Enumeration Date | 08/13/2019
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 76011 WILLIAM BURGESS BLVD
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City | YULEE
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State | FL
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Zip | 32097
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Country | US
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Telephone | 904-427-8590
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44008
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-244-3660
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Fax | 904-244-3425
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Authorized Official
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Title or Position | DIRECTOR
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Name | WENDEY CLARKE LANDKROHN
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Credential |
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Telephone | 904-244-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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