Massie, Mitchell T.
Massie, Mitchell T. is an individual health care provider with primary practice located at 2631 Centennial Blvd Suite 100, Tallahassee FL 32308-0588. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Massie, Mitchell T. can be contacted via phone (850) 877-8539.Contact Information
Primary practice address
2631 Centennial Blvd Suite 100
Tallahassee FL 32308-0588
Phone: (850) 877-8539
Fax: (850) 877-6674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME0073308 | Florida |
Profile Details
| NPI number | 1285616367 |
|---|---|
| LBN Legal business name | Massie, Mitchell T. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Mar 31st, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285616367 | NPPES |
| Florida | MEDICAID | 276918200 |
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