Organization
BAPTIST MD ANDERSON CANCER PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN MENGEL (VICE PRESIDENT)
(904) 202-7300
Entity
Organization
Contact information
Practice address
2310 VILLAGE SQUARE PKWY STE 106C, FLEMING ISLAND, FL 32003-6409
(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
207RH0003X
Hematology & Oncology Physician
—
—
207RI0008X
Hepatology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
Other
Enumeration date
06/28/2023
Last updated
04/28/2025
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