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BAPTIST PRIMARY CARE INC NPI 1538601125


NPI Information

NPI: 1538601125
Provider Name: BAPTIST PRIMARY CARE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2081622

Address:
524 SKYMARKS DR
SUITE 1
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 696-7333
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BAPTIST PRIMARY CARE INC is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAPTIST PRIMARY CARE INC NPI is 1538601125. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

524 SKYMARKS DR
SUITE 1
JACKSONVILLE, FL
ZIP 32218-254
Phone: (904) 696-7333
Fax: (904) 696-1926

The provider's authorized official is Marsha Donaldson .
The authorized official title is Vice President and has the following contact phone number (904) 376-3703.

The CLIA number assigned to this NPI record is 10D2081622 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2016 and was last updated on 12/14/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineFLORIDANo
2207Q00000XFamily MedicineFLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CH3780OTHERFLORIDARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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