| Baptist Agewell Physicians Inc | |
|
841 Prudential Dr Ste 180 Jacksonville FL 32207-8350 | |
| (904) 202-4600 | |
| (904) 202-4639 |
| Full Name | Baptist Agewell Physicians Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 841 Prudential Dr Ste 180, Jacksonville, Florida |
| Authorized Official Name and Position | Marsha Donaldson (VICE PRESIDENT) |
| Authorized Official Contact | 9043763703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Agewell Physicians Inc Po Box 3162 Salt Lake City UT 84110-3162 Ph: (904) 202-1032 | Baptist Agewell Physicians Inc 841 Prudential Dr Ste 180 Jacksonville FL 32207-8350 Ph: (904) 202-4600 |
| NPI Number | 1023595105 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 12/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023595105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (Florida) | Primary |
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