JEFFREY D MANDELKORN PHD PA
Nursing at 17 St, Fort Lauderdale, FL

License number
Florida PY 8957
Category
Nursing
Type
Nursing Facility/Intermediate Care Facility
Owner
Name: JEFFREY D MANDELKORN PHD
Title: PRESIDENT
Phone: (954) 661-3673
Address
Address
2000 NE 17Th St #3, Fort Lauderdale, FL 33305
National Provider ID: 1295153716
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jeffrey D. Mandelkorn, Ph.D., PA

2000 NE 17 St, Fort Lauderdale, FL 33305

Registration:
Mar 19, 2014
State ID:
P14000025089
Business type:
Domestic for Profit Corporation
President:
Jeffrey D. Mandelkorn (President)

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