# HEALOGICS SPECIALTY PHYSICIANS OF ARIZONA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417327107
- **Authorized official:** PAMELA MANDEL (CEO)
- **Authorized official phone:** (904) 446-3686

## Contact information

- **Practice address:** 2460 S PARKVIEW LOOP STE 205, YUMA, AZ 85364-5358
- **Practice address phone:** (928) 336-2030
- **Mailing address:** 5220 BELFORT RD STE 130, JACKSONVILLE, FL 32256-6018
- **Mailing address phone:** (904) 446-3686
- **Mailing address fax:** (904) 446-3032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 10/07/2015
- **Last updated:** 04/07/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 235369 | — | AZ |