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NPI Code Detail

MEDICARE: DR. STEPHEN HOWARD MANDY MD

MEDICARE: DR. STEPHEN HOWARD MANDY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology PhysicianME12999FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528063112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN HOWARD MANDY MD
Provider Business Mailing Address
First Line : 900 VILLAGE SQUARE XING STE 290
Second Line :
City : PALM BEACH GARDENS
State : FL
Zip : 33410-4552
Country : US
Telephone Number : 239-313-2517
Fax Number : 239-666-9211
Provider Business Practice Location Address
First Line : 2601 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34994-4622
Country : US
Telephone Number : 772-219-2777
Fax Number : 772-219-0017
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 06/05/2026

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