BAPTIST PRIMARY CARE INC NPI 1407122294

NPI Information

  • NPI: 1407122294
  • Provider Name: BAPTIST PRIMARY CARE INC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2039365
  • Address: 13720 OLD SAINT AUGUSTINE RD
    SUITE 1
    JACKSONVILLE, FL
    ZIP 32258
  • Phone: (904) 288-5550

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NPI Details

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 1407122294. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13720 OLD SAINT AUGUSTINE RD
SUITE 1
JACKSONVILLE, FL
ZIP 32258-414
Phone: (904) 288-5550
Fax: (904) 288-5565

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 10D2039365 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2012 and was last updated on 12/12/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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