Individual
MARK A MIGHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6135
Mailing address
13020 N TELECOM PKWY, TEMPLE TERRACE, FL 33637-0925
(813) 978-9700
(813) 558-6135
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME77360
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1262132
CIGNA
FL
01
—
200041125
MEDICARE RR
FL
05
—
258906100
—
FL
01
—
276467
AVMED
FL
01
—
51706
BCBS OF FL
FL
01
—
7500217
AETNA
FL
Enumeration date
07/07/2005
Last updated
10/12/2017
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