| Baptist Agewell Physicians Inc | |
|
98 Nocatee Village Dr Ponte Vedra FL 32081-6152 | |
| (904) 202-4243 | |
| (904) 202-4639 |
| Full Name | Baptist Agewell Physicians Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 98 Nocatee Village Dr, Ponte Vedra, Florida |
| Authorized Official Name and Position | Marsha Donaldson (VICE PRESIDENT) |
| Authorized Official Contact | 9042022141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Agewell Physicians Inc Po Box 3162 Salt Lake City UT 84110-3162 Ph: (904) 202-1032 | Baptist Agewell Physicians Inc 98 Nocatee Village Dr Ponte Vedra FL 32081-6152 Ph: (904) 202-4243 |
| NPI Number | 1679240337 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679240337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
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