OrganizationActive
Baptist Agewell Physicians Inc
NPI 1023595105 · Geriatric Medicine (Family Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1023595105
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elizabeth Tibbs, Vice President(904) 202-3283
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1325 San Marco Blvd Ste 300
Jacksonville, FL 32207-8567
Phone: (904) 202-4243
Fax: (904) 390-7415
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746636
Atlanta, GA 30374-6636
Registry dates
- Enumerated
- 2018-07-23
- Last updated
- 2026-03-03
- Certified
- 2026-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.