Organization
BAPTIST PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH TIBBS (VICE PRESIDENT)
(904) 202-3283
Entity
Organization
Contact information
Practice address
950 MARSH LANDING PKWY STE 105B, JACKSONVILLE BEACH, FL 32250-1408
(904) 376-4900
(904) 390-7546
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/20/2007
Last updated
04/27/2026
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