Mitchell-Beam, Michael P.

Mitchell-Beam, Michael P. is an individual health care provider with primary practice located at 11010 Bloomingdale Ave , Riverview FL 33578-3617. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Mitchell-Beam, Michael P. can be contacted via phone (813) 709-7480.

Contact Information

Primary practice address
11010 Bloomingdale Ave Riverview FL 33578-3617
Phone: (813) 709-7480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11018261 Florida
Nursing Service Providers / Registered Nurse 163W00000X 026-0028512 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 056182-23 New Hampshire

Profile Details

NPI number 1568585768
LBN Legal business name Mitchell-Beam, Michael P.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jan 31st, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568585768 NPPES
Vermont Other 11790943 CAQH
Vermont MEDICAID 3106087 CAQH

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