Individual
MITCHELL ROBERT SOULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6739 1ST AVE S, ST PETERSBURG, FL 33707-1307
(727) 272-3490
Mailing address
2855 13TH AVE N, SAINT PETERSBURG, FL 33713-5513
(727) 272-3490
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW.15412
SC
104100000X
Social Worker
Primary
SW23668
FL
Other
Enumeration date
09/06/2022
Last updated
07/16/2026
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