Organization
BAPTIST SPECIALTY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THABATA FORD (VICE PRESIDENT)
(904) 391-5578
Entity
Organization
Contact information
Practice address
8705 PERIMETER PARK BLVD STE 8, JACKSONVILLE, FL 32216-6353
(904) 296-7771
(904) 296-7772
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
—
—
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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