MEDICARE: UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1215507546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 44008
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	904-244-3660
Fax Number	:	904-244-3592

Provider Business Practice Location Address
First Line	:	203 FORT WADE RD
Second Line	:
City	:	PONTE VEDRA BEACH
State	:	FL
Zip	:	32081-5159
Country	:	US
Telephone Number	:	904-383-1053
Fax Number	:	904-427-8570

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. WENDEY CLARKE LANDKROHN
Credential	:
Telephone Number	:	904-244-3603

Provider Enumeration Date	:	06/29/2021
Last Update Date	:	06/29/2021

Similar Medicare Providers

1518913540 — SHERRY DIANNE DEKEYSER M.D.
Practice Location Address:

203 FORT WADE RD UNIT 260
PONTE VEDRA, FL
32081-5159

Practice Phone: 904-902-4408
Practice Fax:

1629308424 — TEEJAY GRANT TRIPP DO
Practice Location Address:

203 FORT WADE RD UNIT 260
PONTE VEDRA, FL
32081-5159

Practice Phone: 801-821-2333
Practice Fax: 480-210-0230

1851686554 — PHILIP M YAM M.D.
Practice Location Address:

203 FORT WADE RD UNIT 260
PONTE VEDRA BEACH, FL
32081-5159

Practice Phone: 904-659-8697
Practice Fax:

1578053138 — JAYSON TRIPP DO
Practice Location Address:

203 FORT WADE RD UNIT 260
PONTE VEDRA, FL
32081-5159

Practice Phone: 801-821-2333
Practice Fax: 801-901-1194

1801381835 — JACKSONVILLE ORTHOPAEDIC INSTITUTE INC
Practice Location Address:

203 FORT WADE RD UNIT 130
PONTE VEDRA, FL
32081-5159

Practice Phone: 904-686-3111
Practice Fax: 904-686-3140

1760583967 — DOLORES CASTANEDA
Practice Location Address:

14140 BEACH BLVD , SUITE 223
WESTMINSTER, CA
92683-5159

Practice Phone: 714-896-7566
Practice Fax:

Directions to “UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.