Organization Name: | MANDELL CARDIAC CARE CENTER PA |
NPI Number: | 1003015660 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH BRAD MANDELL (PRESIDENT AND SECRETARY) |
Mailing Address: | 15300 Jog Rd Suite 202 Delray Beach |
State: | FL US |
Postal Code: | 334462162 |
Phone Number: | 5614555601 |
Fax Number: | 5614555602 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 12/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |