Archana R. Mandala M.D.
Hospitalist Physician in Fort Myers, FL(View on Map)
Full Name
Archana Reddy Mandala M.D.
NPI Number
1235320615
NPI Type
Individual Provider
Gender
Female
Enumeration Date
08/09/2007
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME106410
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2147
9981 S HEALTHPARK DR
City
Fort Myers
Fort Myers
State
FL
FL
Postal Code
33902-2147
33908
Country
US
US
Telephone Number
(239) 343-2052
(239) 343-2052
Identifiers
Identifier
012201300
Identifier State
FL
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
amandala7066@Direct.leememorial.org
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
Y
Endpoint Location
Lee Memorial Health System2776 Cleveland AveFort Myers, FL339015864US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/29/2021
Provider Address
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