# BAPTIST SPECIALTY PHYSICIANS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PAVILION HEALTH SERVICES INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407226228
- **Legal business name:** PAVILION HEALTH SERVICES INC
- **Authorized official:** MR. THABATA BATCHELOR (ADMINISTRATOR)
- **Authorized official phone:** (904) 202-5048

## Contact information

- **Practice address:** 1660 PRUDENTIAL DR STE 320, JACKSONVILLE, FL 32207-8197
- **Practice address phone:** (904) 376-3707
- **Practice address fax:** (904) 391-5001
- **Mailing address:** PO BOX 746645, ATLANTA, GA 30374-6645
- **Mailing address phone:** (904) 376-4083
- **Mailing address fax:** (904) 391-5075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0202X | Pediatric Cardiology Physician | — | FL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | NULL | — |
| 2080P0203X | Pediatric Critical Care Medicine Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | FL | Yes |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 01/29/2026
