DR. ROBERT VINCENT MANDRACCIA MD NPI 1962626879

NPI Information

NPI: 1962626879
Provider Name: DR. ROBERT VINCENT MANDRACCIA, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
3501 HEALTH CENTER BLVD UNIT 2200
BONITA SPRINGS, FL
ZIP 34135
Phone: (239) 948-4009
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DR. Robert Vincent Mandraccia, MD is a plastic and reconstructive surgery surgery in Bonita Springs, FL. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Robert Vincent Mandraccia, MD NPI is 1962626879. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3501 HEALTH CENTER BLVD UNIT 2200
BONITA SPRINGS, FL
ZIP 34135-133
Phone: (239) 948-4009

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/8/2007.

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	2086S0122X	Surgery	Plastic and Reconstructive Surgery	ME0023742	FLORIDA	Yes

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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