Baptist Physician Group Llc | |
5100 N 12th Ave Ste 102 Pensacola FL 32504-8919 | |
(850) 437-8592 | |
(850) 437-8599 |
Full Name | Baptist Physician Group Llc |
---|---|
Speciality | Orthopaedic Surgery |
Location | 5100 N 12th Ave Ste 102, Pensacola, Florida |
Authorized Official Name and Position | Bryon Scott Raynes (PRESIDENT) |
Authorized Official Contact | 8504692319 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baptist Physician Group Llc Po Box 30532 Pensacola FL 32503-1532 Ph: (850) 478-1312 | Baptist Physician Group Llc 5100 N 12th Ave Ste 102 Pensacola FL 32504-8919 Ph: (850) 437-8592 |
NPI Number | 1427573757 |
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Provider Enumeration Date | 08/08/2017 |
Last Update Date | 08/08/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427573757 | NPI | - | NPPES |
001330100 | Medicaid | FL | |
110608 | Medicaid | AL | |
39662 | Other | FL | FLORIDA BLUE |
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