Organization
MEMORIAL NEUROSURGERY GROUP LLC
Active
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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