Individual
DR. MARK ANTHONY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., FACOEP-D FACEP
Contact information
Practice address
401 FAIRWAY DR STE 200, DEERFIELD BEACH, FL 33441-1800
(561) 208-1970
Mailing address
1648 W DIVISION ST UNIT 703, CHICAGO, IL 60622-3927
(312) 369-9727
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036084550
IL
207P00000X
Emergency Medicine Physician
13723
MS
207P00000X
Emergency Medicine Physician
34.010137
OH
207P00000X
Emergency Medicine Physician
44861-21
WI
207P00000X
Emergency Medicine Physician
N5251
TX
207P00000X
Emergency Medicine Physician
Primary
OS14965
FL
207R00000X
Internal Medicine Physician
036084550
IL
207R00000X
Internal Medicine Physician
13723
MS
207R00000X
Internal Medicine Physician
34.010137
OH
207R00000X
Internal Medicine Physician
44861-21
WI
207R00000X
Internal Medicine Physician
7157
OK
207R00000X
Internal Medicine Physician
DO-04144
IA
207R00000X
Internal Medicine Physician
DO.000259
LA
207R00000X
Internal Medicine Physician
N5251
TX
207R00000X
Internal Medicine Physician
OD14965
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02281810
—
FL
05
—
036084550
—
IL
05
—
43502100
—
WI
Enumeration date
07/17/2006
Last updated
11/08/2023
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