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General NPI Number Information
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NPI Number | 1881582369
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Entity Type | Organization
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Legal Business Name | BAPTIST MEDICAL GROUP LLC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 125 BAPTIST WAY STE 3A
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City | PENSACOLA
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State | FL
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Zip | 32503-2274
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Country | US
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Telephone | 448-227-6500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 732892
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City | DALLAS
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State | TX
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Zip | 75373-2892
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Country | US
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Telephone | 850-475-3700
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Fax |
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | SHARON CREECH
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Credential |
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Telephone | 850-607-3882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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