Organization
BAPTIST PRIMARY CARE INC
Active
Other names
Mandarin Pediatrics PA
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 376-3703
Entity
Organization
Contact information
Practice address
10337 SAN JOSE BLVD, SUITE 104, JACKSONVILLE, FL 32257-6287
(904) 268-7701
(904) 268-9708
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/12/2008
Last updated
12/12/2018
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