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General NPI Number Information
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NPI Number | 1841351632
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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 | 12/13/2006
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 3563 PHILLIPS HIGHWAY SUITE 202
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5663
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Country | US
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Telephone | 904-202-4300
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Fax | 904-202-4377
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Provider Business Mailing Address
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Address Line | 3563 PHILLIPS HIGHWAY SUITE 202
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City | JACKSONVILLE
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State | FL
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Zip | 32207-5663
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Country | US
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Telephone | 904-202-4300
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Fax | 904-202-4377
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Authorized Official
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Title or Position | CHIEF REVENUE OFFICER
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Name | PHILIP BOYCE
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Credential |
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Telephone | 904-376-3760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 21334096
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License Number State | FL
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