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Organization
BAPTIST MEDICAL PARK SURGERY CENTER, LLC
Active
Organization
BAPTIST MEDICAL PARK SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PORTER VP (CHAIRMAN OF THE BOARD)
(850) 469-2338
Entity
Organization
Contact information
Practice address
9400 UNIVERSITY PKWY, SUITE 102, PENSACOLA, FL 32514-5752
(850) 208-6330
(850) 208-6335
Mailing address
9400 UNIVERSITY PKWY, SUITE 102, PENSACOLA, FL 32514-5752
(850) 208-6330
(850) 208-6335
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070620500
—
FL
Enumeration date
03/12/2015
Last updated
03/12/2015
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