Organization
MEMORIAL FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DAWN BOYD (CHARGE ENTRY SPECIALIST)
(904) 702-5353
Entity
Organization
Contact information
Practice address
3627 UNIVERSITY BLVD S, SUITE 235, JACKSONVILLE, FL 32216-4230
(904) 702-6353
(904) 702-6356
Mailing address
3627 UNIVERSITY BLVD S, SUITE 235, JACKSONVILLE, FL 32216-4230
(904) 702-6353
(904) 702-6356
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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