# BAPTIST SPECIALTY PHYSICIANS INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAVILION HEALTH SERVICES INC
- **Other names:** Wolfson Children's Specialty Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285149138
- **Legal business name:** PAVILION HEALTH SERVICES INC
- **Authorized official:** THABATA BATCHELOR (ADMINISTRATOR)
- **Authorized official phone:** (904) 202-5048

## Contact information

- **Practice address:** 836 PRUDENTIAL DR STE 802, JACKSONVILLE, FL 32207-8335
- **Practice address phone:** (904) 202-8290
- **Practice address fax:** (904) 202-8171
- **Mailing address:** PO BOX 44047, JACKSONVILLE, FL 32231-4047
- **Mailing address phone:** (904) 376-4083
- **Mailing address fax:** (904) 391-5075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0202X | Pediatric Cardiology Physician | — | NULL | — |
| 2080P0202X | Pediatric Cardiology Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | FL | Yes |

## Other

- **Enumeration date:** 12/13/2017
- **Last updated:** 05/21/2021