Baptist Physician Group Llc

LBN: Baptist Physician Group Llc
Baptist Physician Group Llc is an health care organization with primary practice located at 1040 Gulf Breeze Pkwy Suite 200, Gulf Breeze FL 32561-7809. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Baptist Physician Group Llc can be contacted via phone (850) 916-3700, or through Raynes, Bryon Scott via phone (850) 469-2319.

Contact Information

Primary practice address
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809
Phone: (850) 916-3700
Fax: (850) 916-3710
Website:
Map and Directions
Authorized official contact:
Name: Raynes, Bryon Scott
Phone: (850) 469-2319

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1659572816
LBN Legal business name Baptist Physician Group Llc
DBA Doing business as
Authorized official Raynes, Bryon Scott
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659572816 NPPES
Florida MEDICAID 001330100
Florida Other 39662
Florida MEDICAID 110608

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