Organization
BAPTIST MEDICAL PARK SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SUZANNE CHAMPAGNE (SR. MANAGER OF ASC OPERATIONS)
(448) 227-4172
Entity
Organization
Contact information
Practice address
9400 UNIVERSITY PKWY, SUITE 102, PENSACOLA, FL 32514-5752
(448) 227-4172
(850) 208-6335
Mailing address
9400 UNIVERSITY PKWY, SUITE 102, PENSACOLA, FL 32514-5752
(448) 227-4172
(850) 208-6335
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0706205
—
FL
Enumeration date
03/29/2007
Last updated
02/14/2024
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