MEDICARE: DR. RIVKAH MANTEL

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
1	183500000X	Pharmacist	52108	FL

General Provider Information

NPI Number	:	1760890719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RIVKAH MANTEL

Provider Business Mailing Address
First Line	:	9600 WESTVIEW DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2514
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9600 WESTVIEW DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-2514
Country	:	US
Telephone Number	:	954-282-5001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2014
Last Update Date	:	07/22/2014

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Directions to “ DR. RIVKAH MANTEL ” Practice Location

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