Organization
WEST ORANGE ENDOCRINOLOGY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE MANDRY MD (PRESIDENT)
(407) 616-6094
Entity
Organization
Contact information
Practice address
1510 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 480-4830
Mailing address
10325 BIRCH TREE LN, WINDERMERE, FL 34786-8021
(407) 616-6094
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207RE010X
—
FL
Enumeration date
09/12/2019
Last updated
09/12/2019
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