Organization
SOUTH FLORIDA BAPTIST HOSPITAL INC
Active
Other names
South Florida Baptist Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNDA GORKEN (VICE PRESIDENT, PFS DIVISION)
(727) 281-9065
Entity
Organization
Contact information
Practice address
3202 N PARK RD, PLANT CITY, FL 33563-2026
(813) 757-1200
(813) 757-8204
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 281-9390
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
282N00000X
General Acute Care Hospital
Primary
4056
FL
363LN0000X
Neonatal Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D0289549
CLIA
FL
05
—
FL0100986
—
FL
Enumeration date
06/19/2006
Last updated
08/01/2024
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