Organization
SAMUEL E. MYRICK, JR., M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MYRICK JR. MD (OWNER)
(904) 421-2119
Entity
Organization
Contact information
Practice address
3901 UNIVERSITY BLVD S, SUITE 221, JACKSONVILLE, FL 32216-4377
(904) 421-2119
Mailing address
PO BOX 552254, TAMPA, FL 33655-0001
Taxonomy
Speciality
Code
Description
License number
State
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
07/25/2007
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