Organization
SOUTH FLORIDA BAPTIST HOSPITAL INC.
Active
Other names
SFB EKG
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GORKEN (VICE PRESIDENT)
(727) 281-9202
Entity
Organization
Contact information
Practice address
3202 N PARK RD, PLANT CITY, FL 33563-2026
(727) 315-6974
(813) 635-2613
Mailing address
2995 DREW ST FL 2, CLEARWATER, FL 33759-3012
(727) 315-6974
(813) 635-2613
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262995000
—
FL
Enumeration date
04/27/2011
Last updated
08/01/2024
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