Organization
BAPTIST CARDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE STEWART (ADMINISTRATOR)
(904) 425-4625
Entity
Organization
Contact information
Practice address
400 COLONNADE DR STE 230, PONTE VEDRA, FL 32081-6235
(904) 720-0599
(904) 720-5225
Mailing address
PO BOX 43667, JACKSONVILLE, FL 32203-3667
(904) 720-0599
(904) 376-4036
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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