| Baptist Agewell Physicians Inc | |
|
3563 Philips Hwy Bldg B Jacksonville FL 32207-5663 | |
| (904) 202-2557 | |
| (904) 393-2958 |
| Full Name | Baptist Agewell Physicians Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 3563 Philips Hwy Bldg B, Jacksonville, Florida |
| Authorized Official Name and Position | Elizabeth Tibbs (VICE PRESIDENT) |
| Authorized Official Contact | 9042023283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Agewell Physicians Inc Po Box 746636 Atlanta GA 30374-6636 Ph: (904) 202-2092 | Baptist Agewell Physicians Inc 3563 Philips Hwy Bldg B Jacksonville FL 32207-5663 Ph: (904) 202-2557 |
| NPI Number | 1447139829 |
|---|---|
| Provider Enumeration Date | 08/29/2025 |
| Last Update Date | 03/03/2026 |
| Certification Date | 03/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447139829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (NU) | Primary |
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