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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
1301 PALM AVE STE 500, JACKSONVILLE, FL 32207-8432
(904) 202-7300
(904) 202-7433
Mailing address
PO BOX 746654, ATLANTA, GA 30374-6654
(904) 202-2092
(904) 376-4075

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
207RI0008X
Hepatology Physician
208600000X
Surgery Physician
2086X0206X
Surgical Oncology Physician
208800000X
Urology Physician
Primary
208C00000X
Colon & Rectal Surgery Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
12/19/2023
Last updated
08/10/2026
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