Organization Active NPI

Leonardo Mandina PL

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1083004543
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME44922 Issued in FL
Legal business name
LEONARDO MANDINA PL
Practice address
908 E Causeway Blvd
Vero Beach, FL 32963-2234
Phone
(772) 231-3777
Fax
(772) 231-1202
NPI assigned
Feb 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leonardo Mandina, MDNPI 1174511554
Title
Owner
Phone
(772) 231-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME44922 FL Primary

Addresses

Primary practice location

908 E Causeway Blvd
Vero Beach, FL 32963-2234

Mailing address

908 E Causeway Blvd
Vero Beach, FL 32963-2234
Phone (772) 231-3777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1083004543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E CAUSEWAY BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632234",
            "telephone_number": "772-231-3777",
            "fax_number": "772-231-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 E CAUSEWAY BLVD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632234",
            "telephone_number": "772-231-3777",
            "fax_number": "772-231-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARDO MANDINA PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "MANDINA",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-231-3777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME44922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.