Organization
BAPTIST CARDIOLOGY INC
Active
Other names
Baptist Heart Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MASTERS PHD (EXECUTIVE DIRECTOR)
(904) 720-0799
Entity
Organization
Contact information
Practice address
1747 BAPTIST CLAY RD, ORANGE PARK, FL 32003-8501
(904) 000-0000
(904) 000-0000
Mailing address
1905 CORPORATE SQUARE BLVD, JACKSONVILLE, FL 32216-1940
(904) 720-0799
(904) 720-5225
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
000000000000000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004946600
—
FL
Enumeration date
03/25/2013
Last updated
03/25/2013
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