Individual
DR. STEPHEN ERNEST MANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803
(407) 897-3499
(407) 896-9454
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 897-3499
(407) 896-9454
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101056778
VA
208800000X
Urology Physician
GFE66696
CA
208800000X
Urology Physician
Primary
ME0046763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76968864A
—
GA
Enumeration date
09/20/2005
Last updated
03/07/2023
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