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BAPTIST PRIMARY CARE INC NPI 1639351927


NPI Information

NPI: 1639351927
Provider Name: BAPTIST PRIMARY CARE INC
Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

CLIA Number: 10D2142040

Address:
1660 PRUDENTIAL DR STE 310
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-8656
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BAPTIST PRIMARY CARE INC is a rheumatology internal medicine in Jacksonville, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. BAPTIST PRIMARY CARE INC NPI is 1639351927. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1660 PRUDENTIAL DR STE 310
JACKSONVILLE, FL
ZIP 32207-185
Phone: (904) 396-8656
Fax: (904) 396-8621

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 10D2142040 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/29/2007 and was last updated on 9/4/2020.


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
1207RR0500XInternal MedicineRheumatologyYes

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
1265495400MEDICAIDFLORIDA

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: 11/14/2023

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