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Contact Information

MEMORY DOC
936 2ND AVENUE S
ATLANTIC BEACH, FL32250
 Phone: 904-860-4813
 Fax: 904-490-8561
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MEMORY DOC

NPI # 1174293419
LBN Legal business name MEMORY DOC
Authorized official TRACY ALLOWAY - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/17/2021
Last updated 01/02/2025 - More than a year 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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