MEMORIAL FAMILY PRACTICE, LLC (NPI# 1649632951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649632951 |
| Entity Type | Organization |
| Organization Name | MEMORIAL FAMILY PRACTICE, LLC |
| Practice Address |
3627 University Blvd S Suite 235 Jacksonville FL 32216-4230 |
| Practice Telephone | 9047026353 |
| Practice Fax Number | 9047026356 |
| Mailing Telephone | 9047026353 |
| Mailing Fax Number | 9047026356 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | MRS. MELISSA DAWN BOYD (CHARGE ENTRY SPECIALIST) |
| Authorized Official Telephone | 9047025353 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| Street Address |
3627 UNIVERSITY BLVD S SUITE 235 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024310 | Eugene Rawson Griffin IIi | Family Medicine | 3627 University Blvd S, Ste 615, Jacksonville, FL 32216-7401 | 2005-06-22 |
| 1770020232 | Holly Noelle Anderson | Physician Assistant | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | 2017-01-23 |
| 1629510599 | Jennifer Sally Waldon | Physician Assistant | 3627 University Blvd S, Suite 615, Jacksonville, FL 32216-4230 | 2016-11-09 |
| 1922550474 | Digestive Disease Consultants | Internal Medicine | 3627 University Blvd S, Ste 430, Jacksonville, FL 32216-4230 | 2016-11-01 |
| 1235688359 | Megan Messer | Physician Assistant | 3627 University Blvd S, Suite 430, Jacksonville, FL 32216-4230 | 2016-09-30 |
| 1215309539 | Payal Gohari | Pharmacist | 3627 University Blvd S, Suite 120, Jacksonville, FL 32216-4230 | 2015-10-26 |
| 1588033419 | Hayley Gant Patridge | Physician Assistant | 3627 University Blvd S, Suite 500, Jacksonville, FL 32216-4230 | 2015-09-22 |
| 1821495540 | Hillary Patton | Nurse Practitioner | 3627 University Blvd S, Jacksonville, FL 32216-4230 | 2014-11-24 |
| 1083059315 | Amy Lee Deichert | Speech-Language Pathologist | 3627 University Blvd S, Suite 210, Jacksonville, FL 32216-4230 | 2013-04-30 |
| 1376896522 | Physicians Group Services Pa | Orthopaedic Surgery | 3627 University Blvd S, Suite 435, Jacksonville, FL 32216-4230 | 2012-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| 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. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083644348 | Umc Wekiva Springs | Psychiatric Hospital | 3947 Salisbury Rd North, Jacksonville, FL 32216 | 2006-07-03 |
| 1992701486 | Brynn Marr Hospital Inc | Psychiatric Hospital | 192 Village Dr, Jacksonville, NC 28546-7238 | 2005-06-21 |
| 1497758312 | Ten Broeck Jacksonville LLC | Psychiatric Hospital | 6300 Beach Blvd, Jacksonville, FL 32216-2708 | 2005-05-24 |
| 1689130338 | Freedom Behavioral Hospital of Central Arkansas LLC | Psychiatric Hospital | 1400 Braden St, Jacksonville, AR 72076-3721 | 2019-02-19 |
| 1457526154 | Southern Baptist Hospital of Florida Inc | Psychiatric Hospital | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2008-04-24 |
| 1568633683 | Tbj Behavioral Center LLC | Psychiatric Hospital | 6300 Beach Blvd, Jacksonville, FL 32216-2708 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952839201 | Oglethorpe of Orlando Inc | Psychiatric Hospital | 91 Beehive Cir, Saint Cloud, FL 34769-1432 | 2017-05-31 |
| 1619403359 | Laurie Lambert | Psychiatric Hospital | 14574 92nd Ct N, West Palm Beach, FL 33412-1729 | 2017-05-01 |
| 1538614565 | Dancing Heart Inc. | Psychiatric Hospital | 5520 Haverhill Rd N Apt 24, West Palm Beach, FL 33407-3000 | 2016-08-19 |
| 1285094813 | Southern Winds Hospital LLC | Psychiatric Hospital | 4225 W 20th Ave, Hialeah, FL 33012-5826 | 2016-02-24 |
| 1164812269 | Key Biscayne Psychiatry | Psychiatric Hospital | 240 Crandon Blvd Ste 230, Key Biscayne, FL 33149-1624 | 2015-01-27 |
| 1881096071 | Wilhelm C J Larsen Md Pa | Psychiatric Hospital | 351 Potter Rd, West Palm Beach, FL 33405-3621 | 2014-09-19 |
| 1902218449 | Shick Shadel of Florida LLC | Psychiatric Hospital | 5960 Sw 106th St, Cooper City, FL 33328-6410 | 2014-06-02 |
| 1740614734 | Daniel Leighton Hollar | Psychiatric Hospital | 2387 Parrot Ln, Tallahassee, FL 32303-8333 | 2013-08-26 |
| 1578814265 | Jackson South Community Hospital | Psychiatric Hospital | 9333 Sw 152 St, Miami, FL 33156 | 2012-09-21 |
| 1174836092 | Dfdfdf | Psychiatric Hospital | 7156 Colony Club Dr, 309, Lake Worth, FL 33463-7836 | 2010-07-20 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.