Organization
BAPTIST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EARL MALLY (SR. VICE PRESIDENT)
(904) 376-4275
Entity
Organization
Contact information
Practice address
3945 SAN JOSE PARK DR, JACKSONVILLE, FL 32217-4612
(904) 731-3530
(904) 737-1548
Mailing address
3945 SAN JOSE PARK DR, JACKSONVILLE, FL 32217-4612
(904) 731-3530
(904) 737-1548
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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