Individual
MANDEEP GAREWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 MIRROR LAKE DRIVE, SUITE A, ORMOND BEACH, FL 32174
(386) 673-2500
(386) 673-3204
Mailing address
325 CLYDE MORRIS BLVD STE 390, ORMOND BEACH, FL 32174-8179
(386) 676-6335
(386) 256-7629
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
ME095705
FL
2084N0400X
Neurology Physician
2005027549
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278731800
—
FL
01
—
ME0095705
LICENSE
FL
Enumeration date
08/31/2006
Last updated
11/03/2022
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