OrganizationActive
Baptist MD Anderson Cancer Physicians
NPI 1710664206 · Radiation Oncology Physician · Fleming Island, FL
Provider details
- NPI number
- 1710664206
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leeann Mengel, Vice President(904) 202-7300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Hepatology Physician207RI0008X
Allopathic & Osteopathic Physicians
- Medical Oncology Physician207RX0202X
Allopathic & Osteopathic Physicians
- Gynecologic Oncology Physician207VX0201X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Allopathic & Osteopathic Physicians
Practice location
2310 Village Square Pkwy Ste 106c
Fleming Island, FL 32003-6409
Phone: (904) 202-7300
Fax: (904) 202-2754
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 746654
Atlanta, GA 30374-6654
Registry dates
- Enumerated
- 2023-06-28
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.