Organization
MEMORIAL NEUROSURGERY GROUP LLC
Active
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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