Individual
ASHLEY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11553 PLANTATION PRESERVE CIR S, FORT MYERS, FL 33966-8370
(239) 839-1512
Mailing address
11553 PLANTATION PRESERVE CIR S, FORT MYERS, FL 33966-8370
(239) 839-1512
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
680952996
—
FL
Enumeration date
01/22/2022
Last updated
01/22/2022
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