Organization
BAPTIST CARDIOLOGY, INC.
Active
Other names
Baptist Heart Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE STEWART (ADMINISTRATOR)
(904) 376-3707
Entity
Organization
Contact information
Practice address
836 PRUDENTIAL DR STE 112, JACKSONVILLE, FL 32207-8334
(904) 493-8400
(904) 391-0058
Mailing address
PO BOX 746652, ATLANTA, GA 30374-6652
(904) 376-4191
(904) 618-2159
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
FL
207RI0011X
Interventional Cardiology Physician
—
FL
207UN0901X
Nuclear Cardiology Physician
—
FL
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004946600
—
FL
01
—
DS8424
RAILROAD MEDICARE
FL
Enumeration date
12/22/2011
Last updated
12/10/2025
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