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Organization
BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Active
Organization
BAPTIST MD ANDERSON CANCER PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN MENGEL (VICE PRESIDENT)
(904) 202-7300
Entity
Organization
Contact information
Practice address
2310 VILLAGE SQUARE PKWY STE 106A, FLEMING ISLAND, FL 32003-6409
(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
—
—
207RX0202X
Medical Oncology Physician
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
12/19/2023
Last updated
04/28/2025
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