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Contact Information

BAPTIST PHYSICIAN GROUP LLC
5100 N 12TH AVE STE 102
PENSACOLA, FL32504-8919
 Phone: 850-437-8592
 Fax: 850-437-8599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BAPTIST PHYSICIAN GROUP LLC · (Female)

NPI Number 1427573757
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2017
Last updated 08/08/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 110608
  • FL Medicaid 001330100
  • FL Other 39662 FLORIDA BLUE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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