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Individual

LEE MICHAEL MANDEL

Active
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Individual

LEE MICHAEL MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
ME67643
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0799828
GHI
FL
01
2103463
AETNA
FL
01
26580
NEIGHBORHOOD HEALTH
FL
01
27456
BLUE CROSS BLUE SHIELD
FL
01
27456T
MEDICARE
FL
01
35001
VISTA OF SOUTH FLORIDA
FL
05
377302700
FL
01
5972804007
CIGNA
FL
01
650799846
BEECHSTREET
FL
01
7541
DIMENSIONS
FL
01
809
TOTAL HEALTH CHOICE
FL
01
923524
FIRST HEALTH PPO
FL
Enumeration date
07/12/2006
Last updated
02/27/2012
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