MEMORIAL FAMILY PRACTICE LLC NPI 1649632951

NPI Information

MEMORIAL FAMILY PRACTICE, LLC is a psychiatric hospital in Jacksonville, FL. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. MEMORIAL FAMILY PRACTICE, LLC NPI is 1649632951. The provider is registered as an organization entity type.

The provider's business location address is:

3627 UNIVERSITY BLVD S
SUITE 235
JACKSONVILLE, FL
ZIP 32216-230
Phone: (904) 702-6353
Fax: (904) 702-6356

The provider's authorized official is Melissa Dawn Boyd .
The authorized official title is Charge Entry Specialist and has the following contact phone number (904) 702-5353.

The CLIA number assigned to this NPI record is 10D1037726 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2016 and was last updated on 3/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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