Baptist MD Anderson Cancer Physicians INC
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Jacksonville, FL. Organization (NPI-2).
NPI number1144098195
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1144098195
- Entity type
- Organization (NPI-2)
- Legal business name
- Baptist MD Anderson Cancer Physicians INC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Apr 28, 2025
- Last updated
- Apr 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | Yes |
| 207RH0000X | Internal Medicine, Hematology | – | – | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | |
| 207RI0008X | Internal Medicine, Hepatology | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 207RX0202X | Internal Medicine, Medical Oncology | – | – | |
| 207X00000X | Orthopaedic Surgery | – | – | |
| 207Y00000X | Otolaryngology | – | – | |
| 207YX0007X | Otolaryngology, Plastic Surgery within the Head & Neck | – | – | |
| 208600000X | Surgery | – | – | |
| 2086X0206X | Surgery, Surgical Oncology | – | – |
Practice location
1301 Palm Ave Ste 600Jacksonville, FL 32207-8432
Phone 904-202-7300 · Fax 904-202-2754
Mailing address
Po Box 746654Atlanta, GA 30374-6654
Phone 904-202-2092 · Fax 904-376-4075
Authorized official
Leeann Mengel
Vice President
9042027300
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