Provider Demographics
NPI:1306201934
Name:BAPTIST HEALTH SOUTH FLORIDA
Entity Type:Organization
Organization Name:BAPTIST HEALTH SOUTH FLORIDA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SPERLING
Authorized Official - Suffix:
Authorized Official - Credentials:AGACNP
Authorized Official - Phone:305-323-7223
Mailing Address - Street 1:3204 BIRD AVE APT 112
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4461
Mailing Address - Country:US
Mailing Address - Phone:305-323-7723
Mailing Address - Fax:
Practice Address - Street 1:3204 BIRD AVE APT 112
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4461
Practice Address - Country:US
Practice Address - Phone:305-323-7723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-26
Last Update Date:2015-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9277963282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital