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Organization

BAPTIST PULMONARY SERVICES INC.

Active
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Organization

BAPTIST PULMONARY SERVICES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 376-3707
Entity
Organization

Contact information

Practice address
1348 S 18TH ST STE 210, FERNANDINA BEACH, FL 32034-4785
(904) 261-9108
(904) 261-9911
Mailing address
PO BOX 43055, JACKSONVILLE, FL 32203-3055
(904) 261-9108
(904) 261-9911

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BY513A
GROUP MEDICARE PTAN
FL
Enumeration date
04/13/2009
Last updated
12/12/2018
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