Organization
BAPTIST ENT SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN MENGEL (DIRECTOR)
(904) 376-4275
Entity
Organization
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD, SUITE 401, JACKSONVILLE, FL 32258-5468
(904) 268-5366
(904) 268-5457
Mailing address
14546 OLD SAINT AUGUSTINE RD, SUITE 401, JACKSONVILLE, FL 32258-5468
(904) 268-5366
(904) 268-5457
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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