Healthcare Provider Details

I. General information

NPI: 1376574632
Provider Name (Legal Business Name): SOUTH FLORIDA BAPTIST HOSPITAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 N ALEXANDER ST
PLANT CITY FL
33563-4303
US

IV. Provider business mailing address

301 N ALEXANDER ST
PLANT CITY FL
33563-4303
US

V. Phone/Fax

Practice location:
  • Phone: 813-757-1200
  • Fax: 813-757-8204
Mailing address:
  • Phone: 813-757-1200
  • Fax: 813-757-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number4056
License Number StateFL

VIII. Authorized Official

Name: CATHY YODER
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 813-554-8126