LEE MICHAEL MANDEL (NPI# 1851326029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851326029 |
| Entity Type | Individual |
| Full Name | LEE MICHAEL MANDEL |
| Credential | MD |
| Practice Address |
4400 Sheridan St Hollywood FL 33021-3514 |
| Practice Telephone | 9549831211 |
| Mailing Telephone | 9549831211 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
ME67643 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | PREFERRED HEALTH NETWORK | 650799846 | 01 |
| FL | GHI | 0799828 | 01 |
| FL | NEIGHBORHOOD HEALTH | 26580 | 01 |
| FL | CIGNA | 5972804007 | 01 |
| FL | SOUTHCARE | 650799846 | 01 |
| FL | VISTA OF SOUTH FLORIDA | 35001 | 01 |
| FL | BEECHSTREET | 650799846 | 01 |
| FL | TOTAL HEALTH CHOICE | 809 | 01 |
| FL | AETNA | 2103463 | 01 |
| FL | MEDICARE | 27456T | 01 |
| FL | DIMENSIONS | 7541 | 01 |
| FL | FIRST HEALTH PPO | 923524 | 01 |
| FL | BLUE CROSS BLUE SHIELD | 27456 | 01 |
| FL | 377302700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372146 | Lee Richard Mandel | Internal Medicine | 1279 Franklin St, Norfolk, VA 23511-2406 | 2006-01-27 |
| Street Address |
4400 SHERIDAN ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235108143 | Warren B. Graditor | Psychologist | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-03-14 |
| 1356769350 | Kevin Mccarthy | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021 | 2014-04-07 |
| 1508169962 | South Florida Sinus and Allergy Center, Inc | Otolaryngology | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2010-12-07 |
| 1902130081 | Ana Cristina Nicholls | Physician Assistant | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2009-09-23 |
| 1467607960 | Broward Psychological Group Inc | Psychologist | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2008-11-25 |
| 1932216918 | Broward Institute of Orthopaedic Specialties LLC | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-08-24 |
| 1447279070 | Jeffrey Worth | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-07-18 |
| 1376561902 | Kenneth W Taylor | Orthopaedic Surgery | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207YX0007X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Plastic Surgery within the Head & Neck |
| An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy is currently provided in the subspecialty of Otolaryngology/Facial Plastic Surgery (see Taxonomy Code 207YX0905X) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508169962 | South Florida Sinus and Allergy Center, Inc | Otolaryngology | 4400 Sheridan St, Hollywood, FL 33021-3514 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317479 | Ent Associates Pa | Otolaryngology | 3390 Tamiami Trl Ste 201-202, Port Charlotte, FL 33952-8157 | 2019-10-13 |
| 1679878615 | Herbert Kean | Otolaryngology | 799 Crandon Blvd, Apt 1407, Key Biscayne, FL 33149 | 2011-01-24 |
| 1881784841 | Scott Jeffery Trimas | Otolaryngology | 1361 13th Ave South, Ste 125, Jacksonville, FL 32250 | 2006-10-13 |
| 1225032006 | Rangaswamy Asokan | Otolaryngology | 2651 Sw 32nd Pl, Ocala, FL 34471 | 2005-06-09 |
| 1851818686 | Accent Physician Specialists, P.a. | Otolaryngology | 3304 Sw 34th Cir Ste 103, Ocala, FL 34474-3357 | 2017-08-23 |
| 1720527021 | Randall P Weyrich Md LLC | Otolaryngology | 6602 Seabird Way, Apollo Beach, FL 33572-3003 | 2017-02-20 |
| 1326416413 | Edward H. Farrior, Md, Pa | Otolaryngology | 2908 W Azeele St, Tampa, FL 33609-3110 | 2015-09-08 |
| 1528442332 | Genesiscare of Florida LLC | Otolaryngology | 4571 Colonial Blvd, Suite 210, Fort Myers, FL 33966-1156 | 2015-07-13 |
| 1225448921 | The Palm Beach Center for Facial Plastic & Laser Surgery, P.a. | Otolaryngology | 4495 Military Trl Ste 202, Jupiter, FL 33458 | 2014-05-02 |
| 1801219944 | Edward J. Gross, M.d., P.l. | Otolaryngology | 1035 Primera Blvd, Lake Mary, FL 32746-2193 | 2014-01-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.