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Organization

BAPTIST MD ANDERSON CANCER PHYSICIANS INC

Active
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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 (ADMINISTRATOR)
(904) 202-5305
Entity
Organization

Contact information

Practice address
14546 OLD SAINT AUGUSTINE RD STE 100, JACKSONVILLE, FL 32258-5468
(904) 202-7300
(904) 202-2754
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
FL
207RX0202X
Medical Oncology Physician
—
FL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
08/13/2018
Last updated
04/15/2026
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