JACK BANDEL M.D., P.A. (NPI# 1982899472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982899472 |
| Entity Type | Organization |
| Organization Name | JACK BANDEL M.D., P.A. |
| Practice Address |
2627 Ne 203rd St Suite 215 Miami FL 33180-1900 |
| Practice Telephone | 3059333035 |
| Practice Fax Number | 3059333035 |
| Mailing Telephone | 3059333035 |
| Mailing Fax Number | 3059333035 |
| Enumeration Date | 2007-09-08 |
| Last Update Date | 2007-09-08 |
| Authorized Official Name | DR. JACK WILLIAM BANDEL (PRESIDENT) |
| Authorized Official Telephone | 3059333035 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME68133 | FL | Ambulatory Health Care Facilities |
| Street Address |
2627 NE 203RD ST SUITE 215 |
| City | MIAMI |
| State | FL |
| Zip Code | 33180-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013908110 | Louise Center | Social Worker | 2627 Ne 203rd St, Suite# 211, Miami, FL 33180-1900 | 2005-10-31 |
| 1902316268 | Sasha Melisa Alvarez | Nurse Practitioner | 2627 Ne 203rd St, Miami, FL 33180-1900 | 2017-10-01 |
| 1326586439 | Rebecca Mclaughlin | Physician Assistant | 2627 Ne 203rd St, Suite 102, Miami, FL 33180-1900 | 2017-02-09 |
| 1982059861 | Fort Lauderdale Dbt | Counselor | 2627 Ne 203rd St, Suite 214, Miami, FL 33180-1900 | 2016-04-28 |
| 1619363785 | Dr. Elise Kramer, O.d. LLC | Optometrist | 2627 Ne 203rd St, Suite 116, Miami, FL 33180-1900 | 2015-04-15 |
| 1760872972 | Elizabeth Nitsch | Psychologist | 2627 Ne 203rd St, #100, Miami, FL 33180-1900 | 2015-01-26 |
| 1881096121 | David Brown & Associates, Pa | Clinic/Center | 2627 Ne 203rd St, Suite 109, Miami, FL 33180-1900 | 2014-09-18 |
| 1679823454 | Elise Gabrielle Kramer | Optometrist | 2627 Ne 203rd St, #116, Miami, FL 33180-1900 | 2012-09-19 |
| 1023332764 | Ronald L. Bergman, Ph.d., P.a. | Psychologist | 2627 Ne 203rd St, S-214, Miami, FL 33180-1900 | 2010-03-24 |
| 1841428919 | Kids Cardiac Center Pa | Pediatrics | 2627 Ne 203rd St, Suite 215, Miami, FL 33180-1900 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720607849 | Nabeel Rahman Khan | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 | 2020-04-09 |
| 1235766841 | Hanny Hausmann | Counselor | 2999 Ne 191 Street, Suite 902, Aventura, FL 33180 | 2020-03-24 |
| 1760976369 | Michael Ernest Molino | Optometrist | 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 | 2018-06-18 |
| 1932602620 | Carmen Somarriba | Physician Assistant | 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 | 2018-03-09 |
| 1235631474 | Premier Florida Podiatry, Pa | Podiatrist | 3060 Ne 190th St Apt 202, Aventura, FL 33180 | 2018-03-04 |
| 1891229126 | Ifrah Zahid Butt | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd., Aventura, FL 33180 | 2017-04-13 |
| 1629500129 | Hector Hugo Gonzalez | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 | 2017-04-03 |
| 1457892671 | Nusen Beer | Internal Medicine | 20200 W Dixie Hwy Ste 701, Aventura, FL 33180 | 2017-03-20 |
| 1073052338 | Alfa Diagnostic LLC | Point of Service | 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 | 2017-02-20 |
| 1598211740 | Katherine Mendez-martinez | Nurse Practitioner | 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 | 2016-08-28 |
| Find all providers in zip 33180 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1073007290 | Yaima Bonet, Arnp, Inc | Clinic/Center | 8080 W Flagler St Ste 2b, Miami, FL 33144-2100 | 2018-06-20 |
| 1902301658 | Family Medicine Home Visits Inc | Clinic/Center | 1898 Sw 27th Ave Ste 1, Miami, FL 33145-2445 | 2018-03-26 |
| 1639622293 | Jm Health Services Inc | Clinic/Center | 12707 Sw 225th St, Miami, FL 33170-4400 | 2016-08-01 |
| 1124476387 | Pmc Medical Management, LLC | Clinic/Center | 80 Sw 8th St Ste 2000, Miami, FL 33130-3038 | 2016-05-28 |
| 1073974838 | Professional Overweight Control | Clinic/Center | 1830 Nw 7th St Ste 1004, Miami, FL 33125-3569 | 2016-03-08 |
| Find all providers in MIAMI | ||||
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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.