Individual
JUSTIN MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1105 7TH AVE N, ST PETERSBURG, FL 33705-1309
(727) 606-8700
Mailing address
1105 7TH AVE N, ST PETERSBURG, FL 33705-1309
(727) 606-8700
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
002379-1
NY
171100000X
Acupuncturist
Primary
AP3562
FL
Other
Enumeration date
02/21/2013
Last updated
01/17/2025
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