Organization
BAPTIST PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA DONALDSON (VICE PRESIDENT)
(904) 376-3703
Entity
Organization
Contact information
Practice address
6353 ARGYLE FOREST BLVD, SUITE 4, JACKSONVILLE, FL 32244-6665
(904) 908-0200
(904) 908-3915
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2654954-00
—
FL
Enumeration date
04/06/2009
Last updated
12/14/2018
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