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General NPI Number Information
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NPI Number | 1134082753
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Entity Type | Organization
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Legal Business Name | SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1235 SAN MARCO BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8554
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Country | US
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Telephone | 904-627-2934
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Fax | 904-618-2222
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Provider Business Mailing Address
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Address Line | 1350 13TH AVE S
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-3203
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Country | US
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Telephone | 904-627-2934
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Fax | 904-618-2222
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Authorized Official
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Title or Position | SYSTEM PHARMACY EXECUTIVE
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Name | DR. KEITH RICHARD SCHISSLER
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Credential | PHARMD
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Telephone | 904-627-2934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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