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Baptist Primary Care Inc

Organization Active NPI Pediatrics Physician · Jacksonville, FL

NPI 1497364707 · NPPES record last updated Jul 23, 2020

Key facts

NPI
1497364707
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
BAPTIST PRIMARY CARE INC
Practice address
3945 San Jose Park Dr
Jacksonville, FL 32217-4612
Phone
(904) 731-3530
Fax
(904) 737-1548
NPI assigned
Jul 23, 2020
Organization subpart
No

Authorized official

Name
Marsha Donaldson
Title
Vice President
Phone
(904) 376-3707

Corporate family (same tax ID) 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0269422Baptist Primary Care, Inc
3945 San Jose Park Dr, Jacksonville, FL 32217		ComplianceNov 28, 2026

National Provider Directory

Tax ID family
Baptist Primary Care Inc (41 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X Yes

Addresses

Primary practice location

3945 San Jose Park Dr
Jacksonville, FL 32217-4612

Mailing address

PO Box 45443
Salt Lake City, UT 84145-0443
Phone (904) 202-1032

Other providers in Jacksonville, FL

All providers in Jacksonville, FL · Pediatrics Physician in Florida

Sources for this page

Verify at the official NPI Registry.