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1144991753
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
ORANGE PARK, FL
NPI
1144991753
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Entity Type
Organization
Authorized Contact
WILLIAM TEDRICK JOHNSON
Vice President
615-372-3375
Organization Subpart ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2021-09-23
Last Update Date
2021-09-23
Business Address
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
1409 KINGSLEY AVE STE 6A
ORANGE PARK, FL 32073-4592
Phone number: 904-639-2270
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Mailing Address
MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426
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MEMORIAL FAMILY PRACTICE ASSOCIATES, LLC