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Baptist Primary Care INC

Family Medicine in Fleming Island, FL. Organization (NPI-2).

NPI number1366880452
StatusActive
Last updated in NPPESNov 22, 2023

Details

NPI
1366880452
Entity type
Organization (NPI-2)
Legal business name
Baptist Primary Care INC
Organization subpart
No
Enumeration date
Jun 11, 2013
Certification date
Nov 22, 2023
Last updated
Nov 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

2310 Village Square Pkwy Ste 206
Fleming Island, FL 32003-6409

Phone 904-264-4405 · Fax 904-391-5380

Mailing address

1747 Baptist Clay Rd
Suite 340
Fleming Island, FL 32003-8501

Phone 904-264-4405 · Fax 904-391-5380

Authorized official

Marsha Donaldson
Administrator
9043764275

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