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 104, JACKSONVILLE, FL 32258-5469
(904) 271-6890
(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
—
—
207RX0202X
Medical Oncology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
FL
Other
Enumeration date
08/13/2018
Last updated
03/03/2026
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