Organization
MEMORIAL NEUROSURGERY GROUP LLC
Active
Other names
Memorial Neuroscience Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VP)
(850) 523-2117
Entity
Organization
Contact information
Practice address
3627 UNIVERSITY BLVD S, SUITE 355, JACKSONVILLE, FL 32216-4230
(904) 296-2522
(904) 296-8173
Mailing address
3627 UNIVERSITY BLVD S, SUITE 355, JACKSONVILLE, FL 32216-4230
(904) 296-2522
(904) 296-8173
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
01/21/2008
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