Individual
THOMAS R. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC/A, FAAA
Contact information
Practice address
12548 LAKE UNDERHILL RD, ORLANDO, FL 32828-7115
(407) 273-0002
Mailing address
10404 OAKVIEW POINTE TER, GOTHA, FL 34734-4728
(407) 234-3797
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY 1431
FL
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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