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Organization

BAPTIST MEDICAL CENTER OF THE BEACHES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP BOYCE (CHIEF REVENUE OFFICER)
(904) 376-3760
Entity
Organization

Contact information

Practice address
1350 13TH AVE S, JACKSONVILLE BEACH, FL 32250-3203
(904) 376-4182
(904) 376-4280
Mailing address
P O BOX 45058, JACKSONVILLE, FL 32232-5058
(904) 376-4182
(904) 376-4280

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4304
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00150345A
MEDICAID OF GA PROVIDER
GA
05
010232600
FL
01
128
BLUE CROSS PROVIDER NUMBE
FL
Enumeration date
01/02/2007
Last updated
06/02/2022
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