Mandras, Stacy Allison
Mandras, Stacy Allison is an individual health care provider with primary practice located at 2415 N Orange Ave Ste 700 , Orlando FL 32804-5521. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is her primary health care specialty. Mandras, Stacy Allison can be contacted via phone (407) 303-2474.Contact Information
Primary practice address
2415 N Orange Ave Ste 700
Orlando FL 32804-5521
Phone: (407) 303-2474
Fax: (407) 303-0680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | MD.203226 | Louisiana |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 2006015684 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD.203226 | Louisiana |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | ME144091 | Florida |
Profile Details
| NPI number | 1407069818 |
|---|---|
| LBN Legal business name | Mandras, Stacy Allison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Aug 19th, 2020 - about 6 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 | 1407069818 | NPPES |
| Louisiana | MEDICAID | 1889938 | |
| Louisiana | MEDICAID | 07720531 | |
| Louisiana | Other | 2006015684 |
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