Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeffrey D Mandelkorn PHD PA

Organization Nursing Facility/Intermediate Care Facility · NPI 1295153716

Jeffrey D Mandelkorn PHD PA is a Nursing Facility/Intermediate Care Facility in Fort Lauderdale, Florida. Licensed in Florida. Registered with an NPI since 2014.

Licensed in
FL
In the registry since
2014
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2000 NE 17th St #3
Fort Lauderdale, FL 33305-2565
Phone: (954) 661-3673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence PY 8957 (FL)

Record details

NPI number1295153716
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Mandelkorn — President · (954) 661-3673
NPI enumeratedApril 1, 2014
Last updated in NPPESJuly 24, 2014
Mailing address2000 Ne 17th St, 3, Fort Lauderdale, FL 33305-2565