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Organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Active
Organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Active
Other names
Baptist Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BOYCE (CHIEF REVENUE OFFICER)
(904) 376-3760
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2092
(904) 376-4280
Mailing address
PO BOX 45094, JACKSONVILLE, FL 32232-5094
(904) 202-2092
(904) 376-4280
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4448
FL
282NC2000X
Children's Hospital
4448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00103771A
—
GA
05
—
010064100
—
FL
05
—
010064102
—
FL
01
—
BLUE CROSS OF FL
120
FL
Enumeration date
01/02/2007
Last updated
06/13/2024
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