Baptist Physician Partners LLC

Organization Active NPI Primary Care Clinic/Center · Pace, FL

NPI 1043430739 · NPPES record last updated Nov 16, 2011

Key facts

NPI
1043430739
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
BAPTIST PHYSICIAN PARTNERS LLC
Practice address
3874 Highway 90
Pace, FL 32571
Phone
(850) 995-4244
Fax
(850) 995-9188
NPI assigned
Apr 26, 2007
Organization subpart
No

Authorized official

Name
Sharon Creech
Title
CPCS,Credentialing Manager
Phone
(850) 475-3726

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

3874 Highway 90
Pace, FL 32571

Mailing address

PO Box 17508
Pensacola, FL 32523
Phone (850) 995-4244

Other identifiers

IdentifierTypeStateIssuer
000727900MedicaidFL

Other providers in Pace, FL

All providers in Pace, FL · Primary Care Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.