Individual
DR. MITCHELL JOHN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13813 METRO PKWY, FORT MYERS, FL 33912-4343
(855) 674-4624
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2024-01679
NC
2085R0202X
Diagnostic Radiology Physician
ME147926
FL
2085U0001X
Diagnostic Ultrasound Physician
2024-01679
NC
Other
Enumeration date
05/31/2019
Last updated
12/17/2024
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