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Organization
MEMORIAL URGENT CARE MANDARIN LLC
Active
Organization
MEMORIAL URGENT CARE MANDARIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICKEY PICKLER (VP)
(850) 523-2117
Entity
Organization
Contact information
Practice address
11701 SAN JOSE BLVD, SUITE 110, JACKSONVILLE, FL 32223-0756
(904) 306-8060
(904) 306-8065
Mailing address
11701-32 SAN JOSE BLVD, SUITE 110, JACKSONVILLE, FL 32223-1884
(904) 996-7600
(904) 306-8065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2005
Last updated
12/10/2007
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