# BAPTIST MEDICAL GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BAPTIST HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255008579
- **Legal business name:** BAPTIST HOSPITAL INC
- **Authorized official:** SHARON CREECH (DELEGATED OFFICIAL)
- **Authorized official phone:** (850) 475-3726

## Contact information

- **Practice address:** 1040 GULF BREEZE PKWY STE 204, GULF BREEZE, FL 32561-7808
- **Practice address phone:** (850) 916-3700
- **Mailing address:** PO BOX 17565, PENSACOLA, FL 32522-7565
- **Mailing address phone:** (850) 475-3726

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2021
- **Last updated:** 08/25/2021

## Other identifiers

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