Individual
TAMMY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2819 CLEAR LAKE PL, GULF BREEZE, FL 32563-2647
(850) 934-1659
Mailing address
2819 CLEAR LAKE PL, GULF BREEZE, FL 32563-2647
(850) 934-1659
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9107607
FL
Other
Enumeration date
11/11/2013
Last updated
05/29/2019
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