Individual
MR. ROSALIE DELANEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
2010 EVERGREEN AVE SW, LIVE OAK, FL 32064-4421
(386) 466-8404
(386) 401-2312
Mailing address
2010 EVERGREEN AVE SW, LIVE OAK, FL 32064-4421
(386) 466-8404
(800) 853-5087
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW404
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MW404
STATE LICENSE NUMBER
FL
Enumeration date
03/29/2021
Last updated
02/19/2025
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