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Organization

BAPTIST PRIMARY CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 376-3703
Entity
Organization

Contact information

Practice address
400 COLONNADE DR STE 160, PONTE VEDRA, FL 32081-6236
(904) 824-1020
(904) 390-7503
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FL

Other

Enumeration date
11/20/2014
Last updated
11/22/2023
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