Individual
DR. ISAAC L MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4121 W HIGHWAY 98, PANAMA CITY, FL 32401-1170
(850) 914-7060
(850) 914-7065
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME86763
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71676
BLUE CROSS OF FLA
FL
01
—
P00058125
MEDICARE RAILROAD
FL
Enumeration date
08/30/2006
Last updated
10/08/2019
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