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

Black Bag Medical Inc

Organization Family Medicine Physician · NPI 1750440988

Black Bag Medical Inc is a Family Medicine Physician in Jacksonville, Florida. Registered with an NPI since 2006.

In the registry since
2006
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

4320 Deerwood Lake Pkwy Ste 101 Pmb 321
Jacksonville, FL 32216-1177
Phone: (904) 371-4051
Fax: (904) 807-4839
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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

Record details

NPI number1750440988
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Stephens — President · (904) 371-4051
NPI enumeratedDecember 6, 2006
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address4320 Deerwood Lake Pkwy Ste 101, Jacksonville, FL 32216-1180

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