Individual
MITCHELL DRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13127 USF MAGNOLIA DR, MDC 21, TAMPA, FL 33612
(813) 974-4864
(813) 974-5621
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME50684
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047075900
—
FL
01
—
04837
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/25/2006
Last updated
03/30/2021
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