Organization
BAPTIST ENT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE HOLLOWAY (EXECUTIVE DIRECTOR)
(904) 202-5378
Entity
Organization
Contact information
Practice address
1650 PRUDENTIAL DR STE 200, JACKSONVILLE, FL 32207-8149
(904) 202-6082
(904) 390-7385
Mailing address
PO BOX 746656, ATLANTA, GA 30374-6656
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004630400
—
FL
Enumeration date
05/26/2015
Last updated
03/19/2025
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