NPI 1295153716

Jeffrey D Mandelkorn PHD PA

Organisation Nursing Facility/Intermediate Care Facility Fort Lauderdale, FL

Practice location

Address: 2000 NE 17th St #3, Fort Lauderdale, FL 33305-2565
Phone: (954) 661-3673

Authorised official

Name: Jeffrey D Mandelkorn
Title: President
Phone: (954) 661-3673

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence PY 8957 (FL)

Other Nursing Facility/Intermediate Care Facility providers in Florida →

Registry record

NPI: 1295153716
Entity type: Organization
NPI issued: 1 Apr 2014
Record last updated: 24 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.