Healthcare Provider Details

I. General information

NPI: 1861936643
Provider Name (Legal Business Name): BAPTIST URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2016
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 NORTH 12TH AVENUE
PENSACOLA FL
32504
US

IV. Provider business mailing address

5100 NORTH 12TH AVENUE
PENSACOLA FL
32504
US

V. Phone/Fax

Practice location:
  • Phone: 850-208-6130
  • Fax: 850-208-6139
Mailing address:
  • Phone: 850-208-6130
  • Fax: 850-208-6139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIEL SONTHEIMER
Title or Position: PRESIDENT
Credential: MD
Phone: 850-469-2338