Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT VINCENT MANDRACCIA, MD
Active Sole ProprietorDR. ROBERT VINCENT MANDRACCIA, MD is a Plastic and Reconstructive Surgery healthcare provider located in BONITA SPRINGS, Florida. NPI 1962626879 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · BONITA SPRINGS, FL
Registration Details
- NPI Number
- 1962626879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 12, 2007 (19.372380965057 yrs)
- Last Updated
- Jul 8, 2007
- License
-
ME0023742 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3501 HEALTH CENTER BLVD UNIT 2200BONITA SPRINGS, FL, 341358133Browse FL providers · Browse ZIP 34135
- Phone
- 2399484009
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.