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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