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Jeffrey D Mandelkorn Phd Pa
Nursing Facility/Intermediate Care Facility in Fort Lauderdale, Florida
NPI 1295153716

Jeffrey D Mandelkorn Phd Pa is a Nursing Facility/Intermediate Care Facility based in Fort Lauderdale, FL. Jeffrey D Mandelkorn Phd Pa practices in Fort Lauderdale, FL. The NPI Number for Jeffrey D Mandelkorn Phd Pa is 1295153716 and holds a License No. PY 8957 (Florida).

The current practice location address for Jeffrey D Mandelkorn Phd Pa is 2000 Ne 17Th St, Fort Lauderdale, FL and can be reached out via phone at 954-661-3673. You can also correspond with Jeffrey D Mandelkorn Phd Pa through the mailing address at 2000 NE 17TH ST, FORT LAUDERDALE, FL - 33305-2565 (mailing address contact number: 954-661-3673).

Location: 2000 Ne 17Th St, Fort Lauderdale, FL, 33305-2565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295153716
Provider Name
Jeffrey D Mandelkorn Phd Pa
Credential
Provider Entity Type
Organization
Address
2000 Ne 17Th St, Fort Lauderdale, FL, 33305-2565
Phone Number
954-661-3673
Fax Number
Provider Enumeration Date
04/01/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2000 Ne 17Th St
City
Fort Lauderdale
State
Florida
Zip
33305-2565
Phone Number
954-661-3673
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Ne 17Th St
City
Fort Lauderdale
State
Florida
Zip
33305-2565
Phone Number
954-661-3673
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
PY 8957 (Florida)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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