Mitchell, Cordell

Mitchell, Cordell is an sole proprietor health care provider with primary practice located at 974 Douglas Ave Suite 102, Altamonte Springs FL 32714-5203. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Mitchell, Cordell can be contacted via phone (407) 862-1550.

Contact Information

Primary practice address
974 Douglas Ave Suite 102 Altamonte Springs FL 32714-5203
Phone: (407) 862-1550
Fax: (407) 862-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME 0053063 Florida

Profile Details

NPI number 1306899679
LBN Legal business name Mitchell, Cordell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2006
Last updated Jan 9th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306899679 NPPES
Florida Other 07445 BCBS PROVIDER I.D.
Florida Other 197920 BCBS PROVIDER I.D.
Florida MEDICAID 048709100 BCBS PROVIDER I.D.
Florida Other 101530 BCBS PROVIDER I.D.

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