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Organization
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Active
Organization
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Active
Parent organization
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Other names
Memorial Family Practice Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
Authorized official
ROBERT A FAILE III (VICE PRESIDENT)
(843) 956-7923
Entity
Organization
Contact information
Practice address
1731 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8928
(904) 725-0200
(904) 721-5711
Mailing address
1731 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8928
(904) 725-0200
(904) 721-5711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME0010521
FL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/08/2006
Last updated
04/10/2023
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