Baptist Primary Care - Internal Medical Group INC
Internal Medicine in Jacksonville, FL. Organization (NPI-2).
NPI number1144508375
StatusActive
Last updated in NPPESJul 21, 2011
Details
- NPI
- 1144508375
- Entity type
- Organization (NPI-2)
- Legal business name
- Baptist Primary Care - Internal Medical Group INC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2011
- Last updated
- Jul 21, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
820 Prudential DrSuite 314
Jacksonville, FL 32207-8210
Phone 904-396-2223
Mailing address
8614 Baymeadows WaySuite 100
Jacksonville, FL 32256-8234
Phone 904-396-0450
Authorized official
Earl B Mally
Sr. Vice President
9043764275
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