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Individual

PAUL E MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
31860 US HIGHWAY 19 N, PALM HARBOR, FL 34684-3713
(727) 787-6335
(727) 772-2160
Mailing address
10537 STATE ROAD 54, NEW PORT RICHEY, FL 34655-1105
(727) 376-8404
(727) 376-8552

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME76043
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
255029600
FL
Enumeration date
09/29/2006
Last updated
06/02/2015
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