Healthcare Provider Details

I. General information

NPI: 1548810492
Provider Name (Legal Business Name): BAPTIST HOSPITAL OF MIAMI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2019
Last Update Date: 09/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 SW 40TH ST
MIAMI FL
33165-5484
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 786-596-3890
  • 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: PHILLIP WEIMER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 786-596-7992