NEJDA LUGO MANDES

Address: 951 N Washington Ave, Titusville, FL 32796-2163
Phone: 3212686111

NEJDA LUGO MANDES (NPI# 1851721666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851721666
Entity Type 1 - Individual
Full Name NEJDA LUGO MANDES
Credential MD
Practice Address 951 N Washington Ave
Titusville
FL 32796-2163
Mailing Address 805 Century Medical Dr Ofc
Titusville
FL 32796-2100
Practice Telephone 3212686111
Practice Fax Number 3212686360
Mailing Telephone 3212686264
Mailing Fax Number 3212686273
Enumeration Date 11/14/2013
Last Update Date 06/01/2017
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist ME127038 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 020509200 05

Office Location

Street Address 951 N WASHINGTON AVE
City TITUSVILLE
State FL
Zip Code 32796-2163

Providers with the same location

NPI Name Address
1154324986 DR. ARVIND ALEX D'CRUZ 951 N Washington Ave, Pmg. Hospitalist.neurology Dept, Titusville, FL 32796-2163
1962463802 PEDRO A CARMONA 951 N Washington Ave, Titusville, FL 32796-2163
1568425932 DR. GEORGE GOMEZ-DELRIO 951 N Washington Ave, Pmc - Hospitalist Dept, Titusville, FL 32796-2163
1609834886 NORTH BREVARD MEDICAL SUPPORT, INC 951 N Washington Ave, Titusville, FL 32796-2163
1265480289 DR. NASIR HASAN 951 N Washington Ave, Titusville, FL 32796-3747
1396794566 SPACE COAST RADIOLOGY ASSOCIATES 951 N Washington Ave, Titusville, FL 32796-2163
1730138793 DR. MICHAEL SORBELLO 951 N Washington Ave, Titusville, FL 32796-2163
1942259684 JOSEPH D. FLYNN 951 N Washington Ave, Titusville, FL 32796-2163
1629027370 DR. RICHARD G. MAYER 951 N Washington Ave, Titusville, FL 32796-2163
1205886637 DR. ROBERT L. ANDERSON 951 N Washington Ave, Titusville, FL 32796-2163

Competitor

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City TITUSVILLE
Zip Code 32796

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.