Individual
MICHAEL DAVID MISTRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
2707 RIVER CREEK LN, SAINT CLOUD, FL 34771-9333
(407) 432-4060
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA996
FL
Other
Enumeration date
08/09/2024
Last updated
10/18/2024
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