Individual
KENNETH MANDATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 OLD CAMP RD STE 120, THE VILLAGES, FL 32162-5605
(352) 787-5858
(352) 728-6749
Mailing address
801 E DIXIE AVE STE 104, LEESBURG, FL 34748-7601
(352) 787-5858
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME136921
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME136921
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104390500
—
FL
Enumeration date
10/25/2006
Last updated
05/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us