Healthcare Provider Details

I. General information

NPI: 1659204006
Provider Name (Legal Business Name): MANDEL DERMATOLOGY FLORIDA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3345 BURNS RD STE 101
PALM BEACH GARDENS FL
33410-4304
US

IV. Provider business mailing address

45 NORTHERN BLVD
GREENVALE NY
11548-1346
US

V. Phone/Fax

Practice location:
  • Phone: 561-567-6775
  • Fax:
Mailing address:
  • Phone: 646-350-4023
  • Fax: 646-350-4023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MITCHELL MANDEL
Title or Position: MEMBER
Credential: MD
Phone: 646-350-4023