Healthcare Provider Details

I. General information

NPI: 1508916032
Provider Name (Legal Business Name): BRIAN CRAIG MANDELSTEIN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N CONGRESS AVE
WEST PALM BEACH FL
33407-3282
US

IV. Provider business mailing address

7399 VIA LURIA
LAKE WORTH FL
33467-5254
US

V. Phone/Fax

Practice location:
  • Phone: 561-213-2335
  • Fax:
Mailing address:
  • Phone: 561-213-2335
  • Fax: 954-987-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH7640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: