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Active NPI 1477750933 Organization (Entity Type 2)

Baptist Pace Practice

Clinic/Center - Primary Care • Pace, FL

About Baptist Pace Practice NPI 1477750933 Summary

Baptist Pace Practice is a verified healthcare organization specializing in Clinic/Center - Primary Care operating in Pace, FL. Located at 3874 HIGHWAY 90, this facility provides patient care and medical services under National Provider Identifier (NPI) 1477750933.

Administrative operations and authorized compliance are overseen by Sommer Holt (Office Manager).

Facility Location & Contact Primary Location

Facility Address

3874 Highway 90

Pace, FL 325711014

Telephone 8509954311

Fax 8509959188

Authorized Official Information

Authorized Contact Name

MRS. Sommer Holt

Title / Role

Office Manager

Official Telephone

8509954311

Facility Classifications & Specialties

Clinic/Center - Primary Care Primary Taxonomy

NUCC Taxonomy Code: 261QP2300X

Definition to come...

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3874 HIGHWAY 90, PACE, FL 325711014 (Tel: 8509954311)

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Updated Business Mailing Address July 08, 2007

Registered at 3874 HIGHWAY 90, PACE, FL 325711014 (Tel: 8509954311)

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Organization / Clinic Name Updated July 08, 2007

Operating as BAPTIST PACE PRACTICE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinic/Center

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Initial NPI Registration & Enumeration June 28, 2007

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1477750933

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: June 28, 2007

Last Update: August 22, 2020

Update or Correct Listing

Mailing Address

3874 Highway 90

Pace, FL 325711014

Phone: 8509954311

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.