Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Memorial Advanced Surgery

Organization Specialist · NPI 1083156202

Memorial Advanced Surgery provides Specialist services 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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