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Organization
BAPTIST SPECIALTY PHYSICIANS INC
Active
Organization
BAPTIST SPECIALTY PHYSICIANS INC
Active
Parent organization
PAVILION HEALTH SERVICES INC
Other names
Wolfson Children's Specialty Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAVILION HEALTH SERVICES INC
Authorized official
THABATA BATCHELOR (ADMINISTRATOR)
(904) 202-5048
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DR STE 802, JACKSONVILLE, FL 32207-8335
(904) 202-8290
(904) 202-8171
Mailing address
PO BOX 44047, JACKSONVILLE, FL 32231-4047
(904) 376-4083
(904) 391-5075
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
—
NULL
2080P0202X
Pediatric Cardiology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
FL
Other
Enumeration date
12/13/2017
Last updated
05/21/2021
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