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
1325 SAN MARCO BLVD, SUITE 301, JACKSONVILLE, FL 32207-8568
(904) 202-2395
(904) 202-2191
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
ME64742
FL
Other
Enumeration date
03/13/2008
Last updated
12/14/2018
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