Organization
BAPTIST MEDICAL GROUP LLC
Active
Parent organization
BAPTIST HOSPITAL INC
Other names
BMG Andrews Suite 206
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST HOSPITAL INC
Authorized official
JULIE CARDWELL (PRESIDENT)
(850) 469-2178
Entity
Organization
Contact information
Practice address
1040 GULF BREEZE PKWY STE 206, GULF BREEZE, FL 32561-7808
(850) 916-3700
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001661700
—
FL
Enumeration date
08/26/2021
Last updated
08/26/2021
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