Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Baymeadows Primary Care, Inc

Organization Family Medicine Physician · NPI 1174512701

Baymeadows Primary Care, Inc is a Family Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2005.

Licensed in
FL
In the registry since
2005
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10058 Baymeadows Rd
Jacksonville, FL 32256-7177
Phone: (904) 636-5400
Fax: (904) 928-0654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME71382 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME81517 (FL)

Record details

NPI number1174512701
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official S. Imam — Practice Administrator/ Cfo · (904) 636-5400
Other names Baymeadows Healthcare
NPI enumeratedOctober 17, 2005
Last updated in NPPESMarch 14, 2012
Mailing address10058 Baymeadows Rd, Jacksonville, FL 32256-7177

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