# BAPTIST MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST HOSPITAL INC
- **Other names:** BMG Andrews Suite 206
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073280095
- **Legal business name:** BAPTIST HOSPITAL INC
- **Authorized official:** JULIE CARDWELL (PRESIDENT)
- **Authorized official phone:** (850) 469-2178

## Contact information

- **Practice address:** 1040 GULF BREEZE PKWY STE 206, GULF BREEZE, FL 32561-7808
- **Practice address phone:** (850) 916-3700
- **Mailing address:** PO BOX 17567, PENSACOLA, FL 32522-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 08/26/2021
- **Last updated:** 08/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001661700 | — | FL |