Organization
MEMORIAL NEUROSURGERY GROUP LLC
Active
Other names
Memorial Neurosurgery Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICKEY PICKLER (VICE PRESIDENT)
(850) 523-2117
Entity
Organization
Contact information
Practice address
4063 SALISBURY RD, SUITE 210, JACKSONVILLE, FL 32216-8030
(904) 296-2522
(904) 296-8173
Mailing address
4063 SALISBURY RD, SUITE 210, JACKSONVILLE, FL 32216-8030
(904) 296-2522
(904) 296-8173
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
11/02/2007
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