| Baptist Primary Care Inc | |
|
769 Blanding Blvd Suite 7 Orange Park FL 32065-8720 | |
| (904) 458-4882 | |
| (904) 458-4899 |
| Full Name | Baptist Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 769 Blanding Blvd, Orange Park, 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 769 Blanding Blvd Suite 7 Orange Park FL 32065-8720 Ph: (904) 458-4882 |
| NPI Number | 1811439516 |
|---|---|
| Provider Enumeration Date | 11/11/2016 |
| Last Update Date | 12/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811439516 | NPI | - | NPPES |
| CH3780 | Other | FL | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
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