Organization
BAYMEADOWS PRIMARY CARE, INC.
Active
Other names
Baymeadows Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. S. AWAIS IMAM (PRACTICE ADMINISTRATOR/ CFO)
(904) 636-5400
Entity
Organization
Contact information
Practice address
10058 BAYMEADOWS RD, JACKSONVILLE, FL 32256-7177
(904) 636-5400
(904) 928-0654
Mailing address
10058 BAYMEADOWS RD, JACKSONVILLE, FL 32256-7177
(904) 636-5400
(904) 928-0654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME71382
FL
207R00000X
Internal Medicine Physician
ME81517
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273849000
—
FL
Enumeration date
10/17/2005
Last updated
03/14/2012
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