Organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Active
Parent organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Other names
Baptist Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
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
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
4448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00103771A
—
GA
05
—
010064100
—
FL
05
—
010064102
—
FL
01
—
120
BLUE CROSS OF FLORIDA
FL
Enumeration date
04/24/2008
Last updated
06/01/2022
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