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Organization

THE APOTHECARY AT MEMORIAL

Active
Parent organization
MEMORIAL HEALTHCARE GROUP, INC.
Other names
HCA Florida Memorial Hospital
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEMORIAL HEALTHCARE GROUP, INC.
Authorized official
KEVIN MCKEOWN (CFO)
(904) 702-6573
Entity
Organization

Contact information

Practice address
3627 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4230
(904) 702-6171
(904) 702-6004
Mailing address
3627 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4230
(904) 702-6171
(904) 702-6004

Taxonomy

Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
PH 8064
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
109647800
FL
Enumeration date
09/25/2006
Last updated
03/30/2022
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