Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Baptist Specialty Physicians Inc

Organization Adult Congenital Heart Disease Physician · NPI 1104490416

Baptist Specialty Physicians Inc is an Adult Congenital Heart Disease Physician in Daytona Beach, Florida. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1219 Dunn Ave
Daytona Beach, FL 32114-2405
Phone: (904) 202-8550
Fax: (904) 393-7808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X
Adult Congenital Heart Disease Physician Taxonomy 207RA0002X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1104490416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thabata Ford — Vice President · (904) 391-5578
NPI enumeratedMay 20, 2021
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021
Mailing addressPo Box 44047, Jacksonville, FL 32231-4047