Individual
JACK A. MANDEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Mailing address
4901 GRANDE DR, PENSACOLA, FL 32504-5935
(850) 477-7042
(850) 474-9060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9299697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001818300
—
FL
05
—
116242
—
AL
01
—
592-10135
BLUE CROSS BLUE SHIELD
AL
01
—
G0071
BLUE CROSS BLUE SHIELD
FL
01
—
P00810162
MEDICARE RAILROAD
—
Enumeration date
01/13/2010
Last updated
05/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us