Individual
ALEXIS LAVANTAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(305) 466-9988
Mailing address
3800 S OCEAN DR STE 209, HOLLYWOOD, FL 33019-2915
(305) 466-9988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F07200304
GA
207QA0505X
Adult Medicine Physician
Primary
F07200304
GA
Other
Enumeration date
10/09/2020
Last updated
10/31/2022
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