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Organization
BAPTIST MEDICAL CENTER OF THE BEACHES, INC
Active
Organization
BAPTIST MEDICAL CENTER OF THE BEACHES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP BOYCE (CHIEF REVENUE OFFICER)
(904) 376-3760
Entity
Organization
Contact information
Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(904) 376-4182
(904) 376-4280
Mailing address
P O BOX 45058, JACKSONVILLE, FL 32232-5058
(904) 376-4182
(904) 376-4280
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4304
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00150345A
MEDICAID OF GA PROVIDER
GA
05
—
010232600
—
FL
01
—
128
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
01/02/2007
Last updated
06/02/2022
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