BAPTIST MEDICAL PARK SURGERY CENTER LLC NPI 1417077090

NPI Information

NPI: 1417077090
Provider Name: BAPTIST MEDICAL PARK SURGERY CENTER LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
9400 UNIVERSITY PKWY
SUITE 102
PENSACOLA, FL
ZIP 32514
Phone: (850) 469-7773
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BAPTIST MEDICAL PARK SURGERY CENTER LLC is an ambulatory surgical clinic center in Pensacola, FL. BAPTIST MEDICAL PARK SURGERY CENTER LLC NPI is 1417077090. The provider is registered as an organization entity type.

The provider's business location address is:

9400 UNIVERSITY PKWY
SUITE 102
PENSACOLA, FL
ZIP 32514-752
Phone: (850) 469-7773
Fax: (850) 469-7671

The provider's authorized official is James Donaldson .
The authorized official title is Director and has the following contact phone number (850) 469-7773.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 6/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F1327	MEDICARE ID-TYPE UNSPECIFIED
2	0706205	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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