Individual
MITCHELL STOTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2637 E ATLANTIC BLVD STE 46566, POMPANO BEACH, FL 33062-4939
(724) 299-1220
Mailing address
2885 SANFORD AVE SW STE 46566, GRANDVILLE, MI 49418-1342
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
ME141497
FL
2083X0100X
Occupational Medicine Physician
0101267722
VA
2083X0100X
Occupational Medicine Physician
01078523A
IN
2083X0100X
Occupational Medicine Physician
150879
AK
2083X0100X
Occupational Medicine Physician
38550
AL
2083X0100X
Occupational Medicine Physician
4301500489
MI
2083X0100X
Occupational Medicine Physician
53070
KY
2083X0100X
Occupational Medicine Physician
59141
AZ
2083X0100X
Occupational Medicine Physician
83897
GA
2083X0100X
Occupational Medicine Physician
A165176
CA
2083X0100X
Occupational Medicine Physician
D0088242
MD
2083X0100X
Occupational Medicine Physician
E-12568
AR
2083X0100X
Occupational Medicine Physician
MD468233
PA
208D00000X
General Practice Physician
28795
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101267722
STATE LICENSE
VA
01
—
01078523A
LICENSE
IN
01
—
036150640
STATE LICENSE
IL
01
—
04-42551
STATE LICENSE
KS
01
—
11351098-1205
STATE LICENSE
UT
01
—
12115
STATE LICENSE
SD
01
—
12446A
STATE LICENSE
WY
01
—
150879
STATE LICENSE
AK
01
—
16110
STATE LICENSE
ND
01
—
19979
STATE LICENSE
NH
01
—
2019-01958
LICENSE
NC
01
—
2019024778
STATE LICENSE
MO
01
—
20824
STATE LICENSE
NV
01
—
25MA10667900
STATE LICENSE
NJ
01
—
27184
STATE LICENSE
MS
01
—
281631
STATE LICENSE
MA
01
—
28795
STATE LICENSE
WV
01
—
300527
STATE LICENSE
NY
01
—
320861
STATE LICENSE
LA
01
—
32094
STATE LICENSE
NE
01
—
35.136962CTR
STATE LICENSE
OH
01
—
35092
STATE LICENSE
OK
01
—
38550
LICENSE
AL
01
—
4301500489
STATE LICENSE
MI
01
—
53070
STATE LICENSE
KY
01
—
59141
LICENSE
AZ
01
—
59945
STATE LICENSE
TN
01
—
66243
STATE LICENSE
MN
01
—
71877-20
STATE LICENSE
WI
01
—
82992
STATE LICENSE
SC
01
—
83897
GEORGIA
GA
01
—
A165176
STATE LICENSE
CA
01
—
C1-0013395
STATE LICENSE
DE
01
—
D0088242
STATE LICENSE
MD
01
—
DR.0062841
STATE LICENSE
CO
01
—
E-12568
STATE LICENSE
AR
01
—
M-14856
STATE LICENSE
ID
01
—
MD-46545
STATE LICENSE
IA
01
—
MD048607
STATE LICENSE
DC
01
—
MD16846
STATE LICENSE
RI
01
—
MD195637
STATE LICENSE
OR
01
—
MD2019-0869
STATE LICENSE
NM
01
—
MD20739
STATE LICENSE
HI
01
—
MD23245
STATE LICENSE
ME
01
—
MD468233
STATE LICENSE
PA
01
—
MD60972416
STATE LICENSE
WA
01
—
ME141497
LICENSE
FL
01
—
MED-PHYS-LIC87942
STATE LICENSE
MT
01
—
S3935
STATE LICENSE
TX
Enumeration date
06/19/2015
Last updated
02/18/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us