Mandel, Steven Mark

Mandel, Steven Mark is an individual health care provider with primary practice located at 2191 9Th Ave N Ste 120 , St Petersburg FL 33713-7147. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mandel, Steven Mark can be contacted via phone (727) 954-6519.

Contact Information

Primary practice address
2191 9Th Ave N Ste 120 St Petersburg FL 33713-7147
Phone: (727) 954-6519
Fax: (727) 954-6524
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME51051 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME51051 Florida

Profile Details

NPI number 1245205624
LBN Legal business name Mandel, Steven Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jun 21st, 2023 - about last year

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 1245205624 NPPES
Florida MEDICAID 061220100
Florida Other 300032601

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