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Organization

BAPTIST HEALTH CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA DONALDSON (VICE-PRESIDENT)
(904) 376-3744
Entity
Organization

Contact information

Practice address
860 A1A N, PONTE VEDRA, FL 32082-3212
(904) 202-5222
Mailing address
PO BOX 40715, JACKSONVILLE, FL 32203-0715
(904) 202-5222

Taxonomy

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

Other

Enumeration date
01/31/2017
Last updated
07/18/2017
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