| NPI | 1174512701 |
|---|---|
| Doing Business As | BAYMEADOWS HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | S. AWAIS IMAM Practice Administrator/ CFO 904-636-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME71382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME81517) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-03-14 |