Individual
DR. MITCHELL ANTHONY WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1430 PALM BAY RD NE, SUITE C, PALM BAY, FL 32905-3829
(321) 723-2113
(321) 952-0848
Mailing address
1430 PALM BAY RD NE, SUITE C, PALM BAY, FL 32905-3829
(321) 723-2113
(321) 952-0848
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
CH0005440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380015600
—
FL
Enumeration date
08/11/2006
Last updated
01/29/2010
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