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Organization

MITCH P. FEARING MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MITCHEL P. FEARING MD (DR./OWNER)
(386) 462-1327
Entity
Organization

Contact information

Practice address
14819 NW 140TH ST, ALACHUA, FL 32615-2600
(386) 462-1327
(386) 462-1328
Mailing address
14819 NW 140TH ST, ALACHUA, FL 32615-2600
(386) 462-1327
(386) 462-1328

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
ME51798
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982646642
NPI
FL
Enumeration date
11/12/2013
Last updated
11/12/2013
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