| Baptist Physician Group Llc | |
|
1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809 | |
| (850) 916-3700 | |
| (850) 916-3710 |
| Full Name | Baptist Physician Group Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 1040 Gulf Breeze Pkwy, Gulf Breeze, Florida |
| Authorized Official Name and Position | Bryon Scott Raynes (PRESIDENT) |
| Authorized Official Contact | 8504692319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Physician Group Llc Po Box 30532 Pensacola FL 32503-1532 Ph: (850) 916-3700 | Baptist Physician Group Llc 1040 Gulf Breeze Pkwy Suite 200 Gulf Breeze FL 32561-7809 Ph: (850) 916-3700 |
| NPI Number | 1659572816 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 7517018146 |
|---|---|
| Medicare Enrollment ID | O20120203000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659572816 | NPI | - | NPPES |
| 001330100 | Medicaid | FL | |
| 39662 | Other | FL | BLUE CROSS BLUE SHIELD |
| 110608 | Medicaid | AL |
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