Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | ME67643 | FL |
NPI | 1851326029 |
---|---|
Provider Name | Lee Michael Mandel |
First Address | Hollywood, FL 33021-3514 |
Second Address | Hollywood, FL 33021-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 27/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0799828 | GHI (01) | FL |
2103463 | AETNA (01) | FL |
26580 | NEIGHBORHOOD HEALTH (01) | FL |
27456 | BLUE CROSS BLUE SHIELD (01) | FL |
27456T | MEDICARE (01) | FL |
35001 | VISTA OF SOUTH FLORIDA (01) | FL |
377302700 | (05) | FL |
5972804007 | CIGNA (01) | FL |
650799846 | BEECHSTREET (01) | FL |
650799846 | PREFERRED HEALTH NETWORK (01) | FL |
650799846 | SOUTHCARE (01) | FL |
7541 | DIMENSIONS (01) | FL |
809 | TOTAL HEALTH CHOICE (01) | FL |
923524 | FIRST HEALTH PPO (01) | FL |
G10041 | (02) | FL |