Organization
MEMORIAL ADVANCED SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEWIS (PRACTICE MANAGER)
(904) 399-5678
Entity
Organization
Contact information
Practice address
3627 UNIVERSITY BLVD S STE 700, JACKSONVILLE, FL 32216-7403
(904) 399-5678
(904) 399-8488
Mailing address
3627 UNIVERSITY BLVD S STE 700, JACKSONVILLE, FL 32216-7403
(904) 399-5678
(904) 399-8488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035676
FL
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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