MANDELL CARDIAC CARE CENTER PA NPI 1003015660

NPI Information

NPI: 1003015660
Provider Name: MANDELL CARDIAC CARE CENTER PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 10D1074381

Address:
15300 JOG RD
SUITE 202
DELRAY BEACH, FL
ZIP 33446
Phone: (561) 455-5601
Get Directions

MANDELL CARDIAC CARE CENTER PA is a cardiovascular disease internal medicine in Delray Beach, FL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. MANDELL CARDIAC CARE CENTER PA NPI is 1003015660. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15300 JOG RD
SUITE 202
DELRAY BEACH, FL
ZIP 33446-162
Phone: (561) 455-5601
Fax: (561) 455-5602

The provider's authorized official is Kenneth Brad Mandell .
The authorized official title is President And Secretary and has the following contact phone number (561) 455-5601.

The CLIA number assigned to this NPI record is 10D1074381 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 12/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AH640	MEDICARE PIN	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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