Baptist Estates of Florida Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1374096 Issued in FL

Legal business name

BAPTIST ESTATES OF FLORIDA INC

Practice address

420 Bay Ave
Clearwater, FL 33756-5291

Phone

(727) 445-4700

Fax

(727) 462-9902

NPI assigned

Aug 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David G Gery

Title

Executive Director

Phone

(727) 445-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OAK BLUFFS HEALTH CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1497765374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 BAY AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565291",
            "telephone_number": "727-445-4700",
            "fax_number": "727-462-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BAY AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565291",
            "telephone_number": "727-445-4700",
            "fax_number": "727-462-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST ESTATES OF FLORIDA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GERY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "727-445-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1374096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAK BLUFFS HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deena Anne Banner, BSW
• Mohit Bansal, MD
• Wendy Marisol Bansal, PA-C
• Craig M. Banull, M. D.
• Katherine Gibbs Banull, MD
• Mark Barasz, MD
• Barbara Freeman
• Sharon A Barber, MSW. MCAP, RCSWI
• Alexis Leigh Barbour, PA-C
• Olexander Barchan, M.D.

• Skilled Nursing Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.