Individual
DR. JACK WILLIAM BANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20818 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 933-3035
(305) 933-8035
Mailing address
20818 W DIXIE HWY, MIAMI, FL 33180-1147
(305) 933-3035
(305) 933-8035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME68133
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
ME68133
FL
2080P0202X
Pediatric Cardiology Physician
Primary
ME68133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104831200
—
FL
Enumeration date
08/07/2007
Last updated
01/29/2026
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