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BAPTIST SPECIALTY PHYSICIANS INC
NPI 1104490416
Pediatrics - Pediatric Cardiology in Daytona Beach, FL

Active since May 20, 2021
1219 DUNN AVE, DAYTONA BEACH, FL 32114(904) 202-8550(904) 393-7808 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Baptist Specialty Physicians Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST SPECIALTY PHYSICIANS INC (NPI 1104490416) is a healthcare organization registered as a pediatric cardiology in Daytona Beach, Florida and active in the NPI registry since May 2021. The organization lists Thabata Ford, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104490416
Entity TypeOrganization
Primary Taxonomy2080P0202X
Legal Business NameBAPTIST SPECIALTY PHYSICIANS INC
Location Address1219 DUNN AVEDaytona Beach, FL 32114-2405
Mailing AddressPo Box 44047Jacksonville, FL 32231-4047 · (904) 376-4083 · Fax (904) 391-5075
Phone(904) 202-8550
Fax(904) 393-7808
Organization SubpartNo
Authorized OfficialThabata FordVice President · (904) 391-5578
Enumeration DateMay 20, 2021
NPPES CertifiedMay 20, 2021
✔ NPI 1104490416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedInternal Medicine · Adult Congenital Heart DiseaseTaxonomy 207RA0002X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
1219 DUNN AVE, Daytona Beach, FL 32114
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISSA MARTORAL
Physical Therapist
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
BREANNA NICOLE REITANO
Occupational Therapy Assistant
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 214-9238
WENDY TAVADIA
Assistant Behavior Analyst
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
REBECCA ROBERTS RBT
Behavior Technician
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 453-6147
ANGELICA LEE MCCRANEY
Behavior Technician
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
DEIDRE ANN SHIMP OCCUPATIONAL THERAPY
Occupational Therapist
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568
EASTERSEALS NORTHEAST CENTRAL FLORIDA, INC.
Early Intervention Provider Agency
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 944-7805
EASTER SEALS OF VOLUSIA AND FLAGLER COUNTIES
Clinic/Center (Physical Therapy)
1219 DUNN AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 255-4568

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist Specialty Physicians Inc's NPI number?

The NPI number for Baptist Specialty Physicians Inc is 1104490416. It was assigned to this organization in the NPPES registry on May 20, 2021.

Where is Baptist Specialty Physicians Inc located?

Baptist Specialty Physicians Inc is located at 1219 Dunn Ave, Daytona Beach, FL 32114. The listed phone number is (904) 202-8550.

What is Baptist Specialty Physicians Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

When was this NPI record last updated?

The NPPES record for Baptist Specialty Physicians Inc was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.