Organization
MITCHELLS HEALTHCARE SERVICES
Active
Organization
MITCHELLS HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESA MITCHELL (CEO)
(772) 501-2643
Entity
Organization
Contact information
Practice address
1903 AVENUE O, FORT PIERCE, FL 34950-2060
(772) 501-2643
Mailing address
1903 AVENUE O, FORT PIERCE, FL 34950-2060
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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