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 provides Family Medicine Physician services 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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