Individual
DR. MITCHELL WADE ALVERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Mailing address
83 W MILLER ST, ORLANDO, FL 32806-2031
(321) 841-5281
(407) 648-9879
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
24525
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME157347
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-07371
BCBS PROVIDER #
AL
Enumeration date
05/28/2006
Last updated
08/17/2022
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