Organization
BAPTIST AGEWELL PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 376-3703
Entity
Organization
Contact information
Practice address
1350 13TH AVE S STE 118-A, JACKSONVILLE BEACH, FL 32250-3203
(904) 202-4600
(904) 202-4639
Mailing address
PO BOX 3162, SALT LAKE CITY, UT 84110-3162
(904) 202-1032
(904) 373-4107
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
FL
Other
Enumeration date
07/20/2018
Last updated
12/12/2018
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