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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
2418 E PLAZA DR, TALLAHASSEE, FL 32308-5301
(850) 629-4861
(850) 629-4859
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
Primary
FL

Other

Enumeration date
12/13/2017
Last updated
05/20/2021
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