Mandia, Stephen Ernest

Mandia, Stephen Ernest is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mandia, Stephen Ernest can be contacted via phone (407) 897-3499.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803
Phone: (407) 897-3499
Fax: (407) 896-9454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X GFE66696 California
Allopathic & Osteopathic Physicians / Urology 208800000X 0101056778 Virginia
Allopathic & Osteopathic Physicians / Urology 208800000X ME0046763 Florida

Profile Details

NPI number 1558356121
LBN Legal business name Mandia, Stephen Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 7th, 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 1558356121 NPPES
Georgia MEDICAID 76968864A

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