Bandel, Jack William

Bandel, Jack William is an sole proprietor health care provider with primary practice located at 20818 W Dixie Hwy , Miami FL 33180-1147. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Bandel, Jack William can be contacted via phone (305) 933-3035.

Contact Information

Primary practice address
20818 W Dixie Hwy Miami FL 33180-1147
Phone: (305) 933-3035
Fax: (305) 933-8035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME68133 Florida
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X ME68133 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME68133 Florida

Profile Details

NPI number 1104017888
LBN Legal business name Bandel, Jack William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Nov 3rd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104017888 NPPES
Florida MEDICAID 104831200

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