Individual
DR. MITCHELL MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7975 LAKE UNDERHILL RD STE 220B, ORLANDO, FL 32822
(407) 303-6772
(407) 303-6775
Mailing address
7975 LAKE UNDERHILL RD STE 220B, ORLANDO, FL 32822-8202
(407) 303-6772
(407) 303-6775
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
0101243437
VA
207RX0202X
Medical Oncology Physician
Primary
ME127066
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01120
MEDICARE GROUP PTAN
VA
Enumeration date
10/10/2006
Last updated
07/19/2018
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