Healthcare Provider Details

I. General information

NPI: 1902593627
Provider Name (Legal Business Name): FLORIDA SINUS & SNORING SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 E BROWARD BLVD STE 240
FORT LAUDERDALE FL
33301-2111
US

IV. Provider business mailing address

1301 E BROWARD BLVD STE 240
FORT LAUDERDALE FL
33301-2111
US

V. Phone/Fax

Practice location:
  • Phone: 954-983-1211
  • Fax:
Mailing address:
  • Phone: 954-983-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEE MANDEL
Title or Position: MANAGER
Credential: MD
Phone: 954-895-7607