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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

NPI Number 1427573757
LBN Legal business name BAPTIST PHYSICIAN GROUP LLC
Authorized official BRYON RAYNES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2017
Last updated 08/08/2017 - About 9 years ago
Identifiers
AL Medicaid 110608
FL Medicaid 001330100
FL Other 39662 FLORIDA BLUE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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