| Baptist Primary Care Inc. | |
|
1888 S 14th St Fernandina Beach FL 32034-3054 | |
| (904) 261-0922 | |
| (904) 390-7477 |
| Full Name | Baptist Primary Care Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1888 S 14th St, Fernandina Beach, Florida |
| Authorized Official Name and Position | Marsha Donaldson (VICE PRESIDENT) |
| Authorized Official Contact | 9043763703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Primary Care Inc. Po Box 45443 Salt Lake City UT 84145-0443 Ph: (904) 202-1032 | Baptist Primary Care Inc. 1888 S 14th St Fernandina Beach FL 32034-3054 Ph: (904) 261-0922 |
| NPI Number | 1679881536 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 05/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679881536 | NPI | - | NPPES |
| 2654954-00 | Medicaid | FL | |
| 45274 | Other | FL | BCBS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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