Baptist MD Anderson Cancer Physicians INC
Urology in Jacksonville, FL. Organization (NPI-2).
NPI number1780575183
StatusActive
Last updated in NPPESJan 29, 2026
Details
- NPI
- 1780575183
- Entity type
- Organization (NPI-2)
- Legal business name
- Baptist MD Anderson Cancer Physicians INC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2025
- Certification date
- Jan 29, 2026
- Last updated
- Jan 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208800000X | Urology | – | – | Yes |
| 208600000X | Surgery | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 2086X0206X | Surgery, Surgical Oncology | – | – | |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
14540 Old Saint Augustine Rd Ste 2307Jacksonville, FL 32258-7418
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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