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

Memorial Family Practice Associates, LLC

Organization Otolaryngology Physician · NPI 1144991753

Memorial Family Practice Associates, LLC is an Otolaryngology Physician in Orange Park, Florida. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1409 Kingsley Ave Ste 6A
Orange Park, FL 32073-4592
Phone: (904) 639-2270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1144991753
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Family Practice Associates, LLC
Authorized official William Johnson — Vice President · (615) 372-3375
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 7, 2021
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

Other providers in Orange Park