Organization

Baptist Primary Care - Internal Medical Group Inc

Internal Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Baptist Primary Care - Internal Medical Group Inc

NPI Number

1144508375

NPI Type

Organization

Enumeration Date

07/21/2011

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

8614 BAYMEADOWS WAY
820 PRUDENTIAL DR

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32256-8234
32207-8210

Country

US
US

Telephone Number

(904) 396-0450
(904) 396-2223

Authorized Official

Name

Earl Mally

Title or Position

SR. VICE PRESIDENT

Telephone Number

(904) 376-4275

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/21/2011

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