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Individual

DR. ANGELA MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
820 PRUDENTIAL DR STE 304, JACKSONVILLE, FL 32207-8205
(904) 346-3649
(904) 348-5627
Mailing address
PO BOX 44004, JACKSONVILLE, FL 32231-4004
(904) 202-1032
(904) 348-5627

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP20035777
TX
207R00000X
Internal Medicine Physician
Primary
ME 124135
FL
207R00000X
Internal Medicine Physician
N8424
TX
208M00000X
Hospitalist Physician
BP20035777
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
014964900
FL
Enumeration date
07/01/2008
Last updated
11/18/2015
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