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Organization

DR. CORDELL MITCHELL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORDELL MITCHELL M.D. (PHYSICIAN)
(407) 862-1550
Entity
Organization

Contact information

Practice address
974 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-5203
(407) 862-1550
(407) 862-6042
Mailing address
974 DOUGLAS AVE, ALTAMONTE SPRINGS, FL 32714-5203
(407) 862-1550
(407) 862-6042

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME53063
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
130689969
NATIONAL PROVIDER IDENTIFIER
FL
Enumeration date
03/02/2015
Last updated
03/02/2015
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