Organization
JACK BANDEL M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK WILLIAM BANDEL M.D. (PRESIDENT)
(305) 933-3035
Entity
Organization
Contact information
Practice address
2627 NE 203RD ST, SUITE 215, MIAMI, FL 33180-1900
(305) 933-3035
(305) 933-3035
Mailing address
2627 NE 203RD ST, SUITE 215, MIAMI, FL 33180-1900
(305) 933-3035
(305) 933-3035
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
ME68133
FL
Other
Enumeration date
09/08/2007
Last updated
09/08/2007
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