Individual
DR. SAMBIT MONDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 MAITLAND AVE, SUITE 116, ALTAMONTE SPRINGS, FL 32701-4914
(407) 915-5643
(407) 960-2602
Mailing address
251 MAITLAND AVE, STE 116, ALTAMONTE SPRINGS, FL 32701-4913
(407) 915-5643
(407) 960-2602
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME95035
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME95035
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003204200
—
FL
01
—
P01026580
MEDICARE RAILROAD
FL
Enumeration date
06/23/2006
Last updated
10/31/2016
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