Organization · Type 2 NPI

Jack Bandel M.d., P.a.

Primary Care Clinic/Center · Miami, FL

NPI number 1982899472 Active

Practice location

2627 NE 203rd St, Suite 215
Miami, FL 33180-1900

Fax (305) 933-3035

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XME68133 (FL)

Primary Care Clinic/Center: Definition to come...

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About NPI 1982899472

Jack Bandel M.d., P.a.'s National Provider Identifier is 1982899472, issued on Sep 8, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Miami, FL. The record was last updated on Sep 8, 2007.