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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
207RI0008X
Hepatology Physician
208600000X
Surgery Physician
2086X0206X
Surgical Oncology Physician
208800000X
Urology Physician
Primary
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
12/19/2023
Last updated
04/28/2025
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