Individual
ANATOLY MITROKHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-8610
(352) 273-8612
Mailing address
450 CLARKSON AVENUE, BOX 1262, BROOKLYN, NY 11203
(718) 270-8867
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
60662744
WA
207L00000X
Anesthesiology Physician
312814
NY
207L00000X
Anesthesiology Physician
Primary
ME153212
FL
208D00000X
General Practice Physician
153212
FL
208D00000X
General Practice Physician
312814
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114718600
—
FL
Enumeration date
08/09/2016
Last updated
03/10/2026
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