Baptist Specialty Physicians INC
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL. Organization (NPI-2).
NPI number1407226228
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1407226228
- Entity type
- Organization (NPI-2)
- Legal business name
- Baptist Specialty Physicians INC
- Organization subpart
- Yes
- Enumeration date
- Oct 6, 2015
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | FL | Yes |
| 2080P0203X | Pediatrics, Pediatric Critical Care Medicine | – | – | |
| 2080P0202X | Pediatrics, Pediatric Cardiology | – | FL |
Practice location
1660 Prudential Dr Ste 320Jacksonville, FL 32207-8197
Phone 904-376-3707 · Fax 904-391-5001
Mailing address
Po Box 746645Atlanta, GA 30374-6645
Phone 904-376-4083 · Fax 904-391-5075
Authorized official
Thabata Batchelor
Administrator
9042025048
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