Individual
DR. IVAR B FANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 N UNIVERSITY DR, SUITE 107, PEMBROKE PINES, FL 33024-3617
(954) 966-6000
(954) 966-3473
Mailing address
2301 N UNIVERSITY DR, SUITE 107, PEMBROKE PINES, FL 33024-3617
(954) 966-6000
(954) 966-3473
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0021473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058659500
—
FL
Enumeration date
08/15/2006
Last updated
07/23/2013
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