Individual
MITCHELL LEWIS SUPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME 64445
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119418200
—
FL
01
—
46892
BCBS
FL
Enumeration date
02/08/2006
Last updated
09/08/2023
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