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
1370 13TH AVE S STE 214, JACKSONVILLE BEACH, FL 32250-3206
(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
207VG0400X
Gynecology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/19/2023
Last updated
04/27/2026
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