Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YS0123X | Facial Plastic Surgeon | ME9198 | FL |
NPI | 1992925846 |
---|---|
Provider Name | Dr. Anita Mandal |
First Address | Palm Beach Gardens, FL 33410-3590 |
Second Address | Palm Beach Gardens, FL 33410-3590 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 20/07/2010 |