<Unavail>

LBN: Baymeadows Primary Care, Inc.
<Unavail> is an health care organization with primary practice located at 10058 Baymeadows Rd , Jacksonville FL 32256-7177. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Baymeadows Primary Care, Inc. can be contacted via phone (904) 636-5400, or through Imam, S. Awais via phone (904) 636-5400.

Contact Information

Primary practice address
10058 Baymeadows Rd Jacksonville FL 32256-7177
Phone: (904) 636-5400
Fax: (904) 928-0654
Website:
Map and Directions
Authorized official contact:
Name: Imam, S. Awais
Phone: (904) 636-5400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME71382 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME81517 Florida

Profile Details

NPI number 1174512701
LBN Legal business name Baymeadows Primary Care, Inc.
DBA Doing business as <Unavail>
Authorized official Imam, S. Awais
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 14th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174512701 NPPES
Florida MEDICAID 273849000

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