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
1	122300000X	Dentist
2	1223G0001X	General Practice Dentistry
3	1223E0200X	Endodontics
4	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689834954
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	:	UFJP PROVIDER ENROLLMENT
City	:	JACKSONVILLE
State	:	FL
Zip	:	32231-4008
Country	:	US
Telephone Number	:	904-244-3660
Fax Number	:

Provider Business Practice Location Address
First Line	:	653 W 8TH ST
Second Line	:	UFJP DENTAL - ORAL MAX
City	:	JACKSONVILLE
State	:	FL
Zip	:	32209-6511
Country	:	US
Telephone Number	:	904-244-3660
Fax Number	:

Authorized Official
Title or Position	:	CEO/VICE PRESIDENT
Name	:	GUY I. BENRUBI
Credential	:
Telephone Number	:	904-244-3109

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	01/22/2026

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