Memorial Family Practice, LLC
NPI #1649632951 in Jacksonville, Florida
Provider Information
- NPI Number
- 1649632951
- Entity Type
- Organization
- Organization Name
- Memorial Family Practice, LLC
- Primary Specialty
- Psychiatric Hospital
- Enumeration Date
- Mar 25, 2016
- Last Updated
- Mar 25, 2016
Practice Location
- Address
- 3627 UNIVERSITY BLVD S
- Address 2
- SUITE 235
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-4230
- Phone
- (904) 702-6353
Authorized Official
- Name
- MRS. MELISSA DAWN BOYD
- Title
- CHARGE ENTRY SPECIALIST
- Phone
- (904) 702-5353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Hospital |
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