Organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Active
Parent organization
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Other names
Baptist Medical Center Jacksonville
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Authorized official
MR. A. HUGH GREENE (PRESIDENT AND CEO)
(904) 202-4011
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DRIVE, LABORATORY, JACKSONVILLE, FL 32207
(904) 202-2006
(904) 346-0235
Mailing address
800 PRUDENTIAL DRIVE, JACKSONVILLE, FL 32207
(904) 202-2016
(904) 346-0235
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800000149
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100641-00
—
FL
Enumeration date
03/13/2017
Last updated
03/13/2017
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