# DR. CORDELL MITCHELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1306899679
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME 0053063 | FL | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 01/09/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 048709100 | — | FL |
| 01 | — | 07445 | BCBS PROVIDER I.D. | FL |
| 01 | — | 101530 | AVMED PROVIDER I.D. | FL |
| 01 | — | 197920 | HEALTHEASE PROVIDER I. | FL |