Mandina, Leonardo
Mandina, Leonardo is an sole proprietor health care provider with primary practice located at 908 E Causeway Blvd , Vero Beach FL 32963-2234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mandina, Leonardo can be contacted via phone (772) 231-3777.Contact Information
Primary practice address
908 E Causeway Blvd
Vero Beach FL 32963-2234
Phone: (772) 231-3777
Fax: (772) 231-1202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME 0044922 | Florida |
Profile Details
| NPI number | 1174511554 |
|---|---|
| LBN Legal business name | Mandina, Leonardo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jun 29th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174511554 | NPPES |
| Other | 31177 | BCBS |
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