Baptist Primary Care - Internal Medical Group INC
NPI #1144508375 in Jacksonville, Florida
Provider Information
- NPI Number
- 1144508375
- Entity Type
- Organization
- Organization Name
- Baptist Primary Care - Internal Medical Group INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 21, 2011
- Last Updated
- Jul 21, 2011
Practice Location
- Address
- 820 PRUDENTIAL DR
- Address 2
- SUITE 314
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32207-8210
- Phone
- (904) 396-2223
Authorized Official
- Name
- EARL B MALLY
- Title
- SR. VICE PRESIDENT
- Phone
- (904) 376-4275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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