BAPTIST AGEWELL PHYSICIANS INC NPI 1306107099

NPI Information

BAPTIST AGEWELL PHYSICIANS INC is a geriatric medicine family medicine in Jacksonville, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. BAPTIST AGEWELL PHYSICIANS INC NPI is 1306107099. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3563 PHILIPS HWY STE 101
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 202-1032
Fax: (904) 376-4107

The provider's authorized official is Marsha Donaldson .
The authorized official title is Administrator and has the following contact phone number (904) 376-3707.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 3/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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