Healthcare Provider Details

I. General information

NPI: 1831015973
Provider Name (Legal Business Name): SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8675 SAINT JOHNS PKWY BLDG C
ST AUGUSTINE FL
32092-2064
US

IV. Provider business mailing address

PO BOX 746630
ATLANTA GA
30374-6630
US

V. Phone/Fax

Practice location:
  • Phone: 904-376-4149
  • Fax: 904-618-2159
Mailing address:
  • Phone: 904-376-4149
  • Fax: 904-618-2159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: PHILIP E. BOYCE
Title or Position: SVP, CRO
Credential:
Phone: 904-376-3760