Organization
BAPTIST ENT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE HOLLOWAY (DIRECTOR)
(904) 202-5378
Entity
Organization
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258-5472
(904) 202-6410
(904) 390-7382
Mailing address
PO BOX 41516, JACKSONVILLE, FL 32203-1516
(904) 202-5111
(904) 391-5836
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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