OrganizationActive
Baptist Primary Care Inc
NPI 1912178336 · Sports Medicine (Internal Medicine) Physician · Jacksonville, FL
Provider details
- NPI number
- 1912178336
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Marsha Donaldson, Vice President
- License
- ME64742 (FL)
Practice location
1325 San Marco Blvd
Suite 301
Jacksonville, FL 32207-8568
Phone: (904) 202-2395
Fax: (904) 202-2191
Mailing address
Po Box 45443
Salt Lake City, UT 84145-0443
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2018-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.