Individual
MITCHELL T. MASSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2631 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
(850) 877-6674
Mailing address
2631 CENTENNIAL BLVD, SUITE 100, TALLAHASSEE, FL 32308-0588
(850) 877-8539
(850) 877-6674
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME0073308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276918200
—
FL
Enumeration date
11/15/2005
Last updated
03/31/2017
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