Mandel, David M.
Mandel, David M. is an individual health care provider with primary practice located at 807 Childrens Way , Jacksonville FL 32207-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery is his primary health care specialty. Mandel, David M. can be contacted via phone (904) 390-3731.Contact Information
Primary practice address
807 Childrens Way
Jacksonville FL 32207-8426
Phone: (904) 390-3731
Fax: (904) 390-3429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | ME73473 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | ME73473 | Florida |
Profile Details
| NPI number | 1184730004 |
|---|---|
| LBN Legal business name | Mandel, David M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Sep 23rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184730004 | NPPES |
| Louisiana | MEDICAID | 1414107 | |
| Louisiana | MEDICAID | 252624700 | |
| Louisiana | MEDICAID | 000752727A |
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