Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Advanced Surgery

Organization Specialist · NPI 1083156202

Memorial Advanced Surgery is a Specialist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016

Practice location Address checks out

3627 University Blvd S Ste 700
Jacksonville, FL 32216-7403
Phone: (904) 399-5678
Fax: (904) 399-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 035676 (FL)

Record details

NPI number1083156202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Lewis — Practice Manager · (904) 399-5678
NPI enumeratedNovember 7, 2016
Last updated in NPPESNovember 7, 2016
Mailing address3627 University Blvd S Ste 700, Jacksonville, FL 32216-7403

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