Individual
GREGORY MIZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
455 DOUGLAS AVE, SUITE 2155-4, ALTAMONTE SPRINGS, FL 32714-2569
(407) 529-4940
(321) 952-0294
Mailing address
455 DOUGLAS AVE, SUITE 2155-4, ALTAMONTE SPRINGS, FL 32714-2569
(407) 529-4940
(321) 952-0294
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/31/2013
Last updated
12/02/2016
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