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Individual

DR. MITCHELL B AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 N MILLS AVE STE C, ORLANDO, FL 32803-5735
(407) 821-3655
(407) 845-8353
Mailing address
902 N 7TH ST, CORDELE, GA 31015-3270
(229) 276-3100

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
47569
GA
207Y00000X
Otolaryngology Physician
Primary
ME98569
FL
207YP0228X
Pediatric Otolaryngology Physician
47569
GA
207YP0228X
Pediatric Otolaryngology Physician
ME98569
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022414200
FL
Enumeration date
08/30/2006
Last updated
09/22/2023
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