Organization
THOMAS M MIXA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS MICHAEL MIXA MD (PHYSICIAN)
(727) 321-9644
Entity
Organization
Contact information
Practice address
1609 PASADENA AVE S STE 1A, SOUTH PASADENA, FL 33707-4514
(727) 321-9644
(727) 321-8580
Mailing address
2410 NORTHSIDE DR, CLEARWATER, FL 33761-2236
(727) 499-0351
(727) 223-4159
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME0067156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376828700
—
FL
01
—
ME0067156
LICENSE
FL
Enumeration date
08/09/2006
Last updated
10/16/2025
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