Organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Active
Other names
Baptist Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN HENDERLITE (DIRECTOR OF PATIENT FINANCIAL SERVI)
(904) 376-4130
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-2092
Mailing address
PO BOX 45094, JACKSONVILLE, FL 32232-5094
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
282NC2000X
Children's Hospital
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00103771A
—
GA
05
—
010064100
—
FL
05
—
010064102
—
FL
Enumeration date
01/07/2020
Last updated
01/07/2020
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