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JEFFREY D MANDELKORN PHD PA
NPI 1295153716
Nursing Facility/Intermediate Care Facility in Fort Lauderdale, FL

Active since April 01, 2014
2000 NE 17TH ST, #3, FORT LAUDERDALE, FL 33305(954) 661-3673 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jeffrey D Mandelkorn Phd Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY D MANDELKORN PHD PA (NPI 1295153716) is a healthcare organization registered as a nursing facility/intermediate care facility in Fort Lauderdale, Florida and active in the NPI registry since April 2014. The organization lists Jeffrey D Mandelkorn, President, as its authorized official.

NPPES Registry Identity

NPI1295153716
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameJEFFREY D MANDELKORN PHD PA
Location Address2000 NE 17TH ST, #3Fort Lauderdale, FL 33305-2565
Mailing Address2000 Ne 17th St, #3Fort Lauderdale, FL 33305-2565 · (954) 661-3673
Phone(954) 661-3673
Organization SubpartNo
Authorized OfficialJeffrey D MandelkornPresident · (954) 661-3673
Enumeration DateApril 1, 2014
Last NPPES UpdateJuly 24, 2014
✔ NPI 1295153716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in FL · PY 8957
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.
2000 NE 17TH ST, Fort Lauderdale, FL 33305
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey D Mandelkorn Phd PA's NPI number?

The NPI number for Jeffrey D Mandelkorn Phd PA is 1295153716. It was assigned to this organization in the NPPES registry on April 1, 2014.

Where is Jeffrey D Mandelkorn Phd PA located?

Jeffrey D Mandelkorn Phd PA is located at 2000 NE 17th St #3, Fort Lauderdale, FL 33305. The listed phone number is (954) 661-3673.

What is Jeffrey D Mandelkorn Phd PA's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey D Mandelkorn Phd PA was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.