Individual
MITCHELL LEWIS SUPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 W COLONIAL DR STE 284, OCOEE, FL 34761-3432
(321) 841-1570
(321) 841-8185
Mailing address
10000 W COLONIAL DR STE 284, OCOEE, FL 34761-3432
(321) 841-1570
(321) 841-8185
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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