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Due to spatial dependence -- often characterized as complex and non-linear -- model misspecification is a prevalent and critical issue in spatial data analysis and prediction. As the data, and thus model performance, is heterogeneous, typical model selection and ensemble methods that assume homogeneity are not suitable. We address the issue of model uncertainty for spatial data by proposing a novel Bayesian ensemble methodology that captures spatially-varying model uncertainty and performance heterogeneity of multiple spatial predictions, and synthesizes them for improved predictions, which we call Bayesian spatial predictive synthesis. Our proposal is defined by specifying a latent factor spatially-varying coefficient model as the synthesis function, which enables spatial characteristics of each model to be learned and ensemble coefficients to vary over regions to achieve flexible predictions. We derive our method from the theoretically best approximation of the data generating process, and show that it provides a finite sample theoretical guarantee for its predictive performance, specifically that the predictions are exact minimax. Two MCMC strategies are implemented for full uncertainty quantification, as well as a variational inference strategy for fast point inference. We also extend the estimation strategy for general responses. Through simulation examples and two real data applications in real estate and ecology, our proposed Bayesian spatial predictive synthesis outperforms standard spatial models and ensemble methods, and advanced machine learning methods, in terms of predictive accuracy and uncertainty quantification, while maintaining interpretability of the prediction mechanism.