Mandese, Leann J.

Mandese, Leann J. is an sole proprietor health care provider with primary practice located at 2194 A1A Hwy Suite 109, Indian Harbour Beach FL 32937-4930. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mandese, Leann J. can be contacted via phone (321) 777-1670.

Contact Information

Primary practice address
2194 A1A Hwy Suite 109 Indian Harbour Beach FL 32937-4930
Phone: (321) 777-1670
Fax: (321) 773-0187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP3125 Florida

Profile Details

NPI number 1740271642
LBN Legal business name Mandese, Leann J.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2005
Last updated Mar 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740271642 NPPES
Florida Other 1548473887 ORGANIZATION

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