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Organization
BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Active
Organization
BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Active
Other names
Baptist MD Anderson Cancer Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN MENGEL (VICE PRESIDENT)
(904) 202-7300
Entity
Organization
Contact information
Practice address
1235 SAN MARCO BLVD, SUITE 2, JACKSONVILLE, FL 32207-8554
(904) 202-7300
(904) 202-7377
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 393-7603
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
FL
207RH0003X
Hematology & Oncology Physician
Primary
—
FL
207RP1001X
Pulmonary Disease Physician
—
FL
207RX0202X
Medical Oncology Physician
—
FL
207VX0201X
Gynecologic Oncology Physician
—
FL
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
—
—
2084N0400X
Neurology Physician
—
FL
2085R0001X
Radiation Oncology Physician
—
FL
2086X0206X
Surgical Oncology Physician
—
FL
208800000X
Urology Physician
—
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149978A
—
GA
05
—
0099422-00
—
FL
01
—
DU3570
RAILROAD MEDICARE
FL
Enumeration date
08/30/2013
Last updated
04/10/2023
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