Individual
MRS. JAMIE BLYTHE MITNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5350 W ATLANTIC AVE, DELRAY BEACH, FL 33484-8112
(561) 496-5677
(561) 496-5824
Mailing address
10817 S JOG RD, STE 230, BOYNTON BEACH, FL 33437-0912
(561) 634-8888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9104310
FL
Other
Enumeration date
08/28/2007
Last updated
04/06/2020
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