Baptist Specialty Physicians INC
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL. Organization (NPI-2).
NPI number1285149138
StatusActive
Last updated in NPPESMay 21, 2021
Details
- NPI
- 1285149138
- Entity type
- Organization (NPI-2)
- Legal business name
- Baptist Specialty Physicians INC
- Organization subpart
- Yes
- Enumeration date
- Dec 13, 2017
- Certification date
- May 21, 2021
- Last updated
- May 21, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | FL | Yes |
| 2080P0202X | Pediatrics, Pediatric Cardiology | – | – |
Other names
- Wolfson Children'S Specialty Services (Doing Business As)
Practice location
836 Prudential Dr Ste 802Jacksonville, FL 32207-8335
Phone 904-202-8290 · Fax 904-202-8171
Mailing address
Po Box 44047Jacksonville, FL 32231-4047
Phone 904-376-4083 · Fax 904-391-5075
Authorized official
Thabata Batchelor
Administrator
9042025048
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