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MEMORIAL ADVANCED SURGERY
NPI 1083156202
Specialist in Jacksonville, FL

Active since November 07, 2016
3627 UNIVERSITY BLVD S STE 700, JACKSONVILLE, FL 32216(904) 399-5678(904) 399-8488 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Advanced Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL ADVANCED SURGERY (NPI 1083156202) is a healthcare organization registered as a specialist in Jacksonville, Florida and active in the NPI registry since November 2016. The organization lists Michelle Lewis, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1083156202
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMEMORIAL ADVANCED SURGERY
Location Address3627 UNIVERSITY BLVD S STE 700Jacksonville, FL 32216-7403
Mailing Address3627 University Blvd S Ste 700Jacksonville, FL 32216-7403 · (904) 399-5678 · Fax (904) 399-8488
Phone(904) 399-5678
Fax(904) 399-8488
Organization SubpartNo
Authorized OfficialMichelle LewisPractice Manager · (904) 399-5678
Enumeration DateNovember 7, 2016
✔ NPI 1083156202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · 035676
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3627 UNIVERSITY BLVD S STE 700, Jacksonville, FL 32216
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Other Identifiers 1

Medicare UPIND50905FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA YAEL LEVY DNP, APRN
Nurse Practitioner
3627 UNIVERSITY BLVD S STE 700
JACKSONVILLE, FL 32216
Duval County (904) 399-5678
ALEXANDER CREAN
Surgery
3627 UNIVERSITY BLVD S STE 700
JACKSONVILLE, FL 32216
Duval County (904) 399-5678
HELEN PERRY RN
Nurse Practitioner (Acute Care)
3627 UNIVERSITY BLVD S STE 700
JACKSONVILLE, FL 32216
Duval County (904) 399-5678

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Advanced Surgery's NPI number?

The NPI number for Memorial Advanced Surgery is 1083156202. It was assigned to this organization in the NPPES registry on November 7, 2016.

Where is Memorial Advanced Surgery located?

Memorial Advanced Surgery is located at 3627 University Blvd S Ste 700, Jacksonville, FL 32216. The listed phone number is (904) 399-5678.

What is Memorial Advanced Surgery's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Memorial Advanced Surgery was last updated on November 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.