Mario Joseph Mandese, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12442 Issued in FL

Practice address

2254 Florida Highway A1A
Indian Harbour Beach, FL 32937-5919

Phone

(321) 626-0994

Fax

(321) 420-1762

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1710483052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 FLORIDA HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375919",
            "telephone_number": "321-626-0994",
            "fax_number": "321-420-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 FLORIDA HIGHWAY A1A",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329375919",
            "telephone_number": "321-626-0994",
            "fax_number": "321-420-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5560 Babcock St NE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329072300",
            "country_code": "US",
            "telephone_number": "321-409-0209",
            "fax_number": "321-409-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDESE",
        "first_name": "MARIO",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loud and Clear Speech, LLC
• George Otto Mabry Jr, D.P.M.
• Carly Mace, APRN
• Mandese Family Chiropractic L.L.C.
• Leann J. Mandese, O.D.
• Whitney Marie Manges, DPT
• Clement L Mansion III
• Sara Markle, RD
• Kelly Lyn Martinkus, M.D.
• Ken Matthys, PHARMD

• Chiropractor in Indian Harbour Beach, FL
• Providers in Indian Harbour Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.