Individual
DR. CHARLES D MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33101-6960
(305) 243-4029
(305) 243-8470
Mailing address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-4029
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
ME50417
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451061-00
—
FL
Enumeration date
06/30/2006
Last updated
01/29/2013
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