National Provider Identifier Database

MANDARIN FAMILY MEDICINE PA
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MANDARIN FAMILY MEDICINE, P.A.
12276-210 SAN JOSE BLVD
JACKSONVILLE, FL32223
Phone: 904-268-9266
Fax: 904-292-1482
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MANDARIN FAMILY MEDICINE, P.A.

NPI Number 1891031910
Legal business name
LBN
MANDARIN FAMILY MEDICINE, P.A.
Authorized official RODNEY MARCOM - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 12/18/2012
Last updated 12/18/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: OS3739

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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