Provider Demographics
NPI:1922076959
Name:BAPTIST HEALTH SURGERY CENTER LLC
Entity Type:Organization
Organization Name:BAPTIST HEALTH SURGERY CENTER LLC
Other - Org Name:BAPTIST HEALTH SURGERY CENTER AT KENDALL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
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:30384-8021
Mailing Address - Country:US
Mailing Address - Phone:786-596-2800
Mailing Address - Fax:
Practice Address - Street 1:8940 N KENDALL DR STE 201E
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2149
Practice Address - Country:US
Practice Address - Phone:786-596-2800
Practice Address - Fax:786-533-9859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL995261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL210074OtherAMERIGROUP
FL079217900Medicaid
FL104329OtherAVMED
FL5321204OtherAETNA NON HMO
FL2025602OtherAETNA HMO
FL66BOtherBLUE CROSS BLUE SHIELD
FL1520OtherMEDICA
FL1009OtherNEIGHBORHOOD HEALTH
FL1467319OtherUNITED HEALTHCARE