Individual
MICHAEL MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2606 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
(850) 205-0189
(850) 329-2903
Mailing address
2606 CENTENNIAL PL, TALLAHASSEE, FL 32308-0572
(850) 205-0189
(850) 329-2903
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0088446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268232000
—
FL
01
—
81845
BLUE CROSS BLUE SHEILD
—
Enumeration date
05/13/2006
Last updated
07/05/2021
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