| 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 |
|---|---|
| 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 |
|---|---|
| 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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