Individual
DR. JEFFREY D MANDELKORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2419 E COMMERCIAL BLVD STE 203, FORT LAUDERDALE, FL 33308-4042
(954) 380-8980
Mailing address
2686 NW 95TH TER, CORAL SPRINGS, FL 33065-4943
(954) 380-8980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PY8957
FL
103TC0700X
Clinical Psychologist
Primary
PY 8957
FL
Other
Enumeration date
02/04/2014
Last updated
09/22/2020
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