NPI 1164655767

University Clinic

Organisation Surgery Physician Jacksonville, FL

Practice location

Address: 2535 University Blvd W, Jacksonville, FL 32217-2003
Phone: (904) 367-8686
Mailing address: PO Box 56164, Jacksonville, FL 32241-6164

Authorised official

Name: Carmen Damasco
Title: Manager
Phone: (904) 367-8686

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 06776 (FL)

Other Surgery providers in Florida →

Registry record

NPI: 1164655767
Entity type: Organization
NPI issued: 29 Aug 2009
Record last updated: 29 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.