Individual
LEE MICHAEL MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4400 SHERIDAN ST, HOLLYWOOD, FL 33021-3514
(954) 983-1211
Mailing address
4400 SHERIDAN ST, HOLLYWOOD, FL 33021-3514
(954) 983-1211
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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