# ALAN L MITCHELL MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053593194
- **Authorized official:** DR. ALAN LEWIS MITCHELL I M.D. (OWNER)
- **Authorized official phone:** (561) 451-0655

## Contact information

- **Practice address:** 22023 STATE ROAD 7, SUITE 102, BOCA RATON, FL 33428-3401
- **Practice address phone:** (561) 451-0655
- **Practice address fax:** (561) 451-2660
- **Mailing address:** 22023 STATE ROAD 7, SUITE 102, BOCA RATON, FL 33428-3401
- **Mailing address phone:** (561) 451-0655
- **Mailing address fax:** (561) 451-2660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME57319 | FL | Yes |

## Other

- **Enumeration date:** 11/30/2007
- **Last updated:** 12/17/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10754 | BCBS | FL |