10D1097434 CLIA NUMBER - BAPTIST PRIMARY CARE

Laboratory Demographics

CLIA Number: 10D1097434

Facility Name: BAPTIST PRIMARY CARE

Facility Address:
141 HILDEN RD STE 201
PONTE VEDRA, FL
ZIP 32081
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Facility Phone Number: 904 825-1941

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659513539

Taxonomy: 207Q00000X - Family Medicine
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.

CLIA Record

Field Name	Field Value
CLIA Number	10D1097434
LAB Type	Physician Office
Facility Name	BAPTIST PRIMARY CARE
Street	141 HILDEN RD STE 201
City	PONTE VEDRA
State	FL
ZIP	32081
Phone	904 825-1941
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024