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Organization

MEMORIAL FAMILY PRACTICE ASSOCIATES LLC

Active
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Organization

MEMORIAL FAMILY PRACTICE ASSOCIATES LLC

Active
Other names
Jacksonville Family Practice Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MICKEY PICKLER (VP)
(904) 725-6544
Entity
Organization

Contact information

Practice address
1731 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8928
(904) 725-6544
(904) 721-5711
Mailing address
1731 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-8928
(904) 725-6544
(904) 721-5711

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
06/12/2006
Last updated
01/21/2008
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