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Organization
BAPTIST OBSTETRICS AND GYNECOLOGY INC
Active
Organization
BAPTIST OBSTETRICS AND GYNECOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL B MALLY (SENIOR VICE PRESIDENT)
(904) 376-4275
Entity
Organization
Contact information
Practice address
12341 YELLOW BLUFF RD, JACKSONVILLE, FL 32226-2025
(904) 225-2779
(904) 225-8477
Mailing address
12341 YELLOW BLUFF RD, JACKSONVILLE, FL 32226-2025
(904) 225-2779
(904) 225-8477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME62735
FL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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