Mauricio Mandel Brigido, MD PhD
Neurological Surgery in Port Saint Lucie, FL. Individual provider (NPI-1).
NPI number1982259461
StatusActive
Last updated in NPPESJul 28, 2022
Details
- NPI
- 1982259461
- Entity type
- Individual (NPI-1)
- Name
- Mauricio Mandel Brigido
- Credential
- MD PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2019
- Certification date
- Jul 28, 2022
- Last updated
- Jul 28, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | ME147473 | FL | Yes |
Practice location
10050 Sw Innovation Way Ste 102Port Saint Lucie, FL 34987-2117
Phone 772-288-5862 · Fax 772-288-5874
Mailing address
10050 Sw Innovation Way Ste 102Port St Lucie, FL 34987-2117
Phone 772-288-5862 · Fax 772-288-5874
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