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BAPTIST PRIMARY CARE NPI 1043452097


NPI Information

NPI: 1043452097
Provider Name: BAPTIST PRIMARY CARE
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D0267247

Address:
2140 SMITH ST
ORANGE PARK, FL
ZIP 32073
Phone: (904) 269-2140
Get Directions

BAPTIST PRIMARY CARE is a pediatrics in Orange Park, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BAPTIST PRIMARY CARE NPI is 1043452097. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2140 SMITH ST
ORANGE PARK, FL
ZIP 32073-554
Phone: (904) 269-2140
Fax: (904) 264-3018

The provider's authorized official is Marsha Donaldson .
The authorized official title is Vice President and has the following contact phone number (904) 376-3703.

The CLIA number assigned to this NPI record is 10D0267247 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 12/14/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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