Organization
BAPTIST PULMONARY 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 746641, ATLANTA, GA 30374-6641
(904) 202-1032
(904) 376-4107
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BY513A
MEDICARE GROUP PTAN
FL
Enumeration date
04/09/2009
Last updated
01/29/2026
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