Individual
GEORGE A MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0S 4593
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS4593
FL
208M00000X
Hospitalist Physician
OS 4593
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063226100
—
FL
01
—
82626
BLUE CROSS
FL
Enumeration date
03/31/2006
Last updated
05/06/2016
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