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BAPTIST PRIMARY CARE INC NPI 1457791246


NPI Information

NPI: 1457791246
Provider Name: BAPTIST PRIMARY CARE INC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0977150

Address:
1747 BAPTIST CLAY RD
SUITE 110
FLEMING ISLAND, FL
ZIP 32003
Phone: (904) 520-6620
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BAPTIST PRIMARY CARE INC is a pediatrics in Fleming Island, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BAPTIST PRIMARY CARE INC NPI is 1457791246. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1747 BAPTIST CLAY RD
SUITE 110
FLEMING ISLAND, FL
ZIP 32003-501
Phone: (904) 520-6620
Fax: (904) 520-6610

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 10D0977150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2013 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
1208000000XPediatricsYes

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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