Baptist MD Anderson Cancer Physicians INC
Urology in Jacksonville, FL. Organization (NPI-2).
NPI number1609644657
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1609644657
- Entity type
- Organization (NPI-2)
- Legal business name
- Baptist MD Anderson Cancer Physicians INC
- Organization subpart
- No
- Enumeration date
- Dec 19, 2023
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – | |
| 207RI0008X | Internal Medicine, Hepatology | – | – | |
| 208600000X | Surgery | – | – | |
| 2086X0206X | Surgery, Surgical Oncology | – | – | |
| 208C00000X | Colon & Rectal Surgery | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
1301 Palm Ave Ste 500Jacksonville, FL 32207-8432
Phone 904-202-7300 · Fax 904-202-7433
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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