Individual
ANDREA MANCINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(786) 269-6756
Mailing address
15026 SW 113TH ST, MIAMI, FL 33196-2594
(786) 269-6756
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS14457
FL
208000000X
Pediatrics Physician
OS14457
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
01/28/2022
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