Provider Demographics
NPI:1437764321
Name:BAPTIST HEALTH SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:BAPTIST HEALTH SURGERY CENTER, LLC
Other - Org Name:BAPTIST HEALTH SURGERY CENTER AT PLANTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:BATISTA-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-662-7111
Mailing Address - Street 1:PO BOX 198120
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-8120
Mailing Address - Country:US
Mailing Address - Phone:954-837-1600
Mailing Address - Fax:
Practice Address - Street 1:1228 S PINE ISLAND RD STE 220
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-4402
Practice Address - Country:US
Practice Address - Phone:954-837-1600
Practice Address - Fax:954-837-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical