Healthcare Provider Details

I. General information

NPI: 1811824634
Provider Name (Legal Business Name): TOVLY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3800 LAKELAND LN
BLOOMFIELD HILLS MI
48302-1327
US

IV. Provider business mailing address

3800 LAKELAND LN
BLOOMFIELD HILLS MI
48302-1327
US

V. Phone/Fax

Practice location:
  • Phone: 248-221-9369
  • Fax: 248-221-9369
Mailing address:
  • Phone: 248-221-9369
  • Fax: 248-221-9369

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081N0008X
TaxonomyNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SHLOMO S MANDEL
Title or Position: OWNER, MEDICAL DIRECTOR
Credential: MANDEL
Phone: 248-221-9369