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Individual
DR. BRUCE LEROY MITCHELL
Active
Individual
DR. BRUCE LEROY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME70743
FL
208M00000X
Hospitalist Physician
Primary
031292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110145938
RAILROAD MEDICARE
FL
05
—
268585000
—
FL
01
—
32760
BLUECROSS/BLUESHIELD
DC
Enumeration date
10/15/2005
Last updated
09/17/2015
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