Baptist Primary Care - Internal Medical Group Inc
Organization Active NPI Internal Medicine Physician · Jacksonville, FL
NPI 1144508375 · NPPES record last updated Jul 21, 2011
Key facts
- NPI
- 1144508375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- BAPTIST PRIMARY CARE - INTERNAL MEDICAL GROUP INC
- Practice address
- 820 Prudential Dr
Suite 314
Jacksonville, FL 32207-8210 - Phone
- (904) 396-2223
- NPI assigned
- Jul 21, 2011
- Organization subpart
- No
Authorized official
- Name
- Earl B Mally
- Title
- Sr. Vice President
- Phone
- (904) 376-4275
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
820 Prudential Dr
Suite 314
Jacksonville, FL 32207-8210
Mailing address
8614 Baymeadows Way
Suite 100
Jacksonville, FL 32256-8234
Phone (904) 396-0450
Other providers in Jacksonville, FL
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- Baptist Occupational Health, Inc.
- Baptist Occupational Health, Inc.
- Baptist Pediatrics
- Baptist Pediatrics
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Baptist Primary Care Inc
- Baptist Primary Care Inc
All providers in Jacksonville, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.