Individual
ROBERTO MIXCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1395 N COURTENAY PKWY, SUITE #106, MERRITT ISLAND, FL 32953-4400
(321) 452-1224
(321) 453-7784
Mailing address
1395 N COURTENAY PKWY, STE 106, MERRITT ISLAND, FL 32953-4474
(321) 452-1224
(321) 453-7784
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME 50063
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051758500
—
FL
01
—
0623966
AETNA
FL
01
—
07492
BCBS
FL
01
—
591263223
CIGNA
FL
Enumeration date
12/11/2006
Last updated
01/10/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us