Mandile, Gregory

Mandile, Gregory is an sole proprietor health care provider with primary practice located at 8130 Lakewood Main St Ste 103 , Lakewood Ranch FL 34202-5068. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mandile, Gregory can be contacted via phone (941) 499-2700.

Contact Information

Primary practice address
8130 Lakewood Main St Ste 103 Lakewood Ranch FL 34202-5068
Fax: (941) 487-0474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X OS16535 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS16535 Florida

Profile Details

NPI number 1629519038
LBN Legal business name Mandile, Gregory
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2017
Last updated Feb 3rd, 2021 - about 4 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.

Request for update

Popular Providers