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NPI Code Detail

MEDICARE: SOUTH FLORIDA BAPTIST HOSPITAL INC.

MEDICARE: SOUTH FLORIDA BAPTIST HOSPITAL INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0001XClinical Cardiac Electrophysiology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699066563
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTH FLORIDA BAPTIST HOSPITAL INC.
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-315-6974
Fax Number : 813-635-2613
Provider Business Practice Location Address
First Line : 3202 N PARK RD
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-2026
Country : US
Telephone Number : 727-315-6974
Fax Number : 813-635-2613
Authorized Official
Title or Position : VICE PRESIDENT
Name : LYNDA GORKEN
Credential :
Telephone Number : 727-281-9202
Provider Enumeration Date : 04/27/2011
Last Update Date : 08/01/2024

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Directions to “SOUTH FLORIDA BAPTIST HOSPITAL INC. ” Practice Location

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