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Organization

ALAN L MITCHELL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALAN LEWIS MITCHELL I M.D. (OWNER)
(561) 451-0655
Entity
Organization

Contact information

Practice address
22023 STATE ROAD 7, SUITE 102, BOCA RATON, FL 33428-3401
(561) 451-0655
(561) 451-2660
Mailing address
22023 STATE ROAD 7, SUITE 102, BOCA RATON, FL 33428-3401
(561) 451-0655
(561) 451-2660

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME57319
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10754
BCBS
FL
Enumeration date
11/30/2007
Last updated
12/17/2007
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