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 1619546850

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

1893 Kingsley Ave Ste C
Orange Park, FL 32073-4421
Phone: (904) 639-2260
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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 number1619546850
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMemorial Family Practice Associates, LLC
Authorized official William Johnson — Vice President · (615) 372-3375
NPI enumeratedJune 22, 2021
Last updated in NPPESJune 22, 2021
Certification dateJune 22, 2021
Mailing address2000 Health Park Dr, Brentwood, TN 37027-4692

Other providers in Orange Park