Organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Active
Other names
Baptist Medical Center
Organization subpart
No
Provider details
NPI number
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
282N00000X
General Acute Care Hospital
Primary
4448
FL
282NC2000X
Children's Hospital
4448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00103771A
—
GA
05
—
010064100
—
FL
05
—
010064102
—
FL
01
—
BLUE CROSS OF FL
120
FL
Enumeration date
01/02/2007
Last updated
06/13/2024
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