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Individual

MICHAYLA MARIE MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
298 SW PROSPERITY PL, LAKE CITY, FL 32024-0684
(386) 269-3900
Mailing address
252 TECHNOLOGY PARK SUITE 109, LAKE MARY, FL 32746

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5233675
FL

Other

Enumeration date
08/07/2026
Last updated
08/07/2026
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