University Clinic

LBN: University Clinic
University Clinic is an health care organization with primary practice located at 2535 University Blvd W , Jacksonville FL 32217-2003. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. University Clinic can be contacted via phone (904) 367-8686, or through Damasco, Carmen via phone (904) 367-8686.

Contact Information

Primary practice address
2535 University Blvd W Jacksonville FL 32217-2003
Phone: (904) 367-8686
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Damasco, Carmen
Phone: (904) 367-8686

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 06776 Florida

Profile Details

NPI number 1164655767
LBN Legal business name University Clinic
DBA Doing business as
Authorized official Damasco, Carmen
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2009
Last updated Aug 29th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164655767 NPPES
Florida MEDICAID 379300100

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