Provider Profile

BAPTIST MEDICAL CENTER JACKSONVILLE

Hospital

FACILITY PROFILE

Accredited by: Joint Commission
Street Address
  • 800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
    County: Duval
  • Phone: (904) 202-2000
Mailing Address
  • 800 PRUDENTIAL DR
    JACKSONVILLE, FL 32207
    County: Duval
  • Phone: (904) 202-2000
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Inspection Details
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A Patient's Guide to a Hospital Stay
Patient Safety
Health Care Advance Directives
Facility Information:
Facility/Provider Type:Hospital
Chief Executive Officer:MICHAEL A. MAYO
Financial Officer:KEITH TICKELL
Owner/Licensee:SOUTHERN BAPTIST HOSPITAL OF FLORIDA INC
Owner/Licensee Since:7/1/1991

NamePositionOwnership
BAPTIST HEALTH SYSTEM, INC.100%
ALLEGRA C JAROSBOARD MEMBER/OFFICER0%
G. SCOTT BAITYBOARD MEMBER/OFFICER0%
KEITH TICKELLBOARD MEMBER/OFFICER0%
KYLE W. DORSEYBOARD MEMBER/OFFICER0%
MICHAEL A. MAYOBOARD MEMBER/OFFICER0%
NICOLE THOMAS BOARD MEMBER/OFFICER0%
SCOTT FINNEGANBOARD MEMBER/OFFICER0%
Profit Status:Not-For-Profit
Management Company:Not Available
Manager Since:Not Available
Licensed Beds:513
Bed Types:Acute Care: 474
Long Term Care: 0
NICU Unit: 0
Skilled Nursing Unit: 0
Adult Psychiatric: 39
Adult Substance Abuse: 0
Total Capacity: 513
Child Psychiatric: 0
Child/Adolescent Substance Abuse: 0
Comprehensive Medical Rehabilitation: 0
Intensive Residential Treatment Program: 0
AHCA Number (File Number):100088
AHCA Field Office:04
License Number:4448
Current License Effective:9/29/2023
Current License Expires:9/28/2025
License Status:LICENSED
Services/Characteristics
Additional Address Type:Hospital-Based Off-Campus Emergency DepartmentOff-Site Outpatient Locations
Classification:Class 1 Hospital
Emergency Department:Yes
Emergency Services:AnesthesiaCardiologyCardiovascular SurgeryColon & Rectal SurgeryEmergency MedicineEndocrinologyGastroenterologyGeneral SurgeryGynecologyHematologyHyperbaric MedicineInternal MedicineNephrologyNeurologyNeurosurgeryObstetricsOphthalmologyOral/Maxillo-facial SurgeryOrthopedicsOtolaryngologyPlastic SurgeryPodiatryPsychiatryPulmonary MedicineRadiologyThoracic SurgeryUrologyVascular Surgery
Programs:Comprehensive Stroke CenterLevel 2 Adult Cardiovascular Services
Baker Act Receiving Facility:Yes
Legal Actions
Please note the legal actions above may have been issued to a prior owner. The Final Order displays the name of the licensee responsible for the legal action that was taken.
Date Initiated Case # Case Type Violation Fine Amount Date Imposed
9/16/20202020015557FineLicensure$500.0011/3/2020
7/24/20172017009160FineSurvey$2,000.002/7/2018
10/13/20152015010929FineSurvey$1,000.001/11/2017
12/2/20142014011693FineApplication$720.003/3/2015
NameStreet AddressCityCountyStateZip
BAPTIST OUTPATIENT CENTER1235 SAN MARCO BLVD JACKSONVILLEDuvalFL32207-8554
REID MEDICAL BLDG1325 SAN MARCO BLVD JACKSONVILLEDuvalFL32207-8568
NameStreet AddressCityCountyStateZip
BAPTIST EMERGENCY CENTER NORTH11250 BAPTIST HEALTH DR JACKSONVILLEDuvalFL32218
BAPTIST EMERGENCY TOWN CENTER4085 TOWN CENTER PKWY JACKSONVILLEDuvalFL32246
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Important information and facility/provider definitions can be found in the Glossary.

Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.