Healthcare Provider Details

I. General information

NPI: 1003581091
Provider Name (Legal Business Name): BAPTIST HOSPITAL OF MIAMI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 08/11/2021
Certification Date: 07/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 SW 152ND ST
MIAMI FL
33177-1111
US

IV. Provider business mailing address

6855 S RED RD STE 600
SOUTH MIAMI FL
33143-3518
US

V. Phone/Fax

Practice location:
  • Phone: 786-596-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: PHILIP WEIMER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 786-596-7992