UNIVERSITY OF NORTH FLORIDA STUDENT MEDICAL SERVICE (NPI# 1730418641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730418641 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NORTH FLORIDA STUDENT MEDICAL SERVICE |
| Practice Address |
1 Unf Drive Building 39a Room 2098 Jacksonville FL 32224-7699 |
| Mailing Address |
1 Unf Dr Jacksonville FL 32224-7699 |
| Practice Telephone | 9046202900 |
| Practice Fax Number | 9046202902 |
| Mailing Telephone | 9046202900 |
| Mailing Fax Number | 9046202902 |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |
| Authorized Official Name | DR. FREDERICK BECK (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9046202900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
3060732 | FL | Ambulatory Health Care Facilities |
| Street Address |
1 UNF DRIVE BUILDING 39A ROOM 2098 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32224-7699 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811451743 | Riley Elizabeth Sanders | Specialist/Technologist | 1 Unf Drive, Jacksonville, FL 32224 | 2019-01-24 |
| 1639655897 | Megan Anne Wollitz | Nurse Practitioner | 1 Unf Drive, Jacksonville, FL 32224 | 2018-07-11 |
| 1457732729 | Amy Howell | Nurse Practitioner | 1 Unf Drive, Jacksonville, FL 32224 | 2015-06-12 |
| 1194104257 | Lisa Marie Dibenedetto | Specialist/Technologist | 1 Unf Drive, Jacksonville, FL 32224 | 2015-05-22 |
| 1801201199 | Linda Connelly | Registered Nurse | 1 Unf Drive, Jacksonville, FL 32250 | 2014-06-25 |
| 1588094379 | Bernadette Buckley | Specialist/Technologist | 1 Unf Drive, Brooks College of Health, Cams, Jacksonville, FL 32224 | 2013-11-15 |
| 1457608028 | Jennifer Iovanovici | Counselor | 1 Unf Drive, C/o Richmond Wynn Dept. of Clinical Mental Health Couns, Jacksonville, FL 32224 | 2012-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974372 | Noelle Parker | Specialist/Technologist | 1 Unf Drivve, Jacksonville, FL 32224 | 2020-02-18 |
| 1124685102 | Charcy Rene Stiller | Specialist/Technologist | 1 Unf Dr., Jacksonville, FL 32224 | 2019-05-24 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1639681471 | Brigantti Anesthesia & Spine Care | Clinic/Center | 1361 13th Ave South Suite #210, Jacksonville, FL 32224 | 2017-11-02 |
| 1093240061 | Beric Emilio Berlioz | Anesthesiology | 4500 San Pablo Rd S # J, Jacksonville, FL 32224 | 2017-04-26 |
| 1609240746 | Matthew James Dailey | Nurse Anesthetist, Certified Registered | 2500 San Pablo Rd S, Jacksonville, FL 32224 | 2015-11-29 |
| 1003299603 | Upscale Personal Care Home | Assisted Living Facility | 4375 Autumn River Road, Jacksonville, FL 32224 | 2015-07-01 |
| 1629459375 | Bellanid Fonseca | Social Worker | 3694 Summerlin Ln E, Jacksonville, FL 32224 | 2015-06-17 |
| 1164840500 | Nicholas Scotto | Physical Therapist | 11555 Central Pkwy Ste 1104, Jacksonville, FL 32224 | 2014-04-02 |
| 1497093454 | Quicker Care Urgent Care | Point of Service | 13770 Beach Blvd., Unit # 4, Jacksonville, FL 32224 | 2013-01-27 |
| Find all providers in zip 32224 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724939 | William A Butler | Clinic/Center | 250 E Colonial Dr Ste 200, Orlando, FL 32801-1231 | 2020-03-09 |
| 1215561832 | Michael Morgan | Clinic/Center | 2498 S 35th St, Fort Pierce, FL 34981-5573 | 2020-02-24 |
| 1225564073 | Michelle Henne, M.d., P.a. | Clinic/Center | 1510 S Lake Rochelle Dr, Winter Haven, FL 33881-9645 | 2017-05-11 |
| 1437692662 | Health Careers and Tutoring Inc | Clinic/Center | 10580 Nw 29th Mnr, Sunrise, FL 33322-1024 | 2016-11-20 |
| 1104225663 | Florida Keys Area Health Education Center, Inc. | Clinic/Center | 5800 Overseas Hwy Ste 38, Marathon, FL 33050-2744 | 2014-08-20 |
| 1356757298 | Florida International University | Clinic/Center | 1180 Sw 113th Ave, Arena Room 156, Miami, FL 33174 | 2014-07-10 |
| 1265737399 | Wound Technology Network | Clinic/Center | 19736 Sw 130th Avenue Rd, Miami, FL 33177-4010 | 2011-01-20 |
| 1720293665 | University Health Services-florida International University-bbc | Clinic/Center | 3000 Ne 151 Street, N. Miami, FL 33181-3605 | 2007-05-14 |
| 1326260928 | Health Depot Inc | Clinic/Center | 7919 Ne 2nd Ave, Miami, FL 33138 | 2007-05-03 |
| 1427031020 | University of Florida | Clinic/Center | 1 Fletcher Dr, University of Florida, Gainesville, FL 32611-7500 | 2005-11-28 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32224 |
Please comment or provide details below to improve the information on UNIVERSITY OF NORTH FLORIDA STUDENT MEDICAL SERVICE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.