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Contact Information

SAMUEL E. MYRICK, JR., M.D.
3901 UNIVERSITY BLVD S
SUITE 221
JACKSONVILLE, FL32216-4377
 Phone: 904-421-2119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

207PE0005X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL E. MYRICK, JR., M.D.

NPI Number 1447290812
LBN Legal business name SAMUEL E. MYRICK, JR., M.D.
Authorized official SAMUEL MYRICK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2006
Last updated 07/25/2007 - About 19 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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