Organization
BAPTIST UROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASHA DONALDSON (ADMINISTRATOR)
(904) 376-3707
Entity
Organization
Contact information
Practice address
1348 S 18TH ST STE 210, FERNANDINA BEACH, FL 32034-4785
(904) 277-2003
(904) 376-3271
Mailing address
PO BOX 746643, ATLANTA, GA 30374-6643
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DU3519
RAILROAD MEDICARE
FL
Enumeration date
05/30/2013
Last updated
06/11/2025
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