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
1660 PRUDENTIAL DR STE 320, JACKSONVILLE, FL 32207-8197
(904) 376-3707
(904) 391-5001
Mailing address
PO BOX 41516, JACKSONVILLE, FL 32203-1516
(904) 202-5111
(904) 391-5836
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
04/01/2011
Last updated
03/03/2021
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