Mitchell, Mark Anthony
Mitchell, Mark Anthony is an individual health care provider with primary practice located at 401 Fairway Dr Ste 200 , Deerfield Beach FL 33441-1800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Mitchell, Mark Anthony can be contacted via phone (561) 208-1970.Contact Information
Primary practice address
401 Fairway Dr Ste 200
Deerfield Beach FL 33441-1800
Phone: (561) 208-1970
Fax:
Website:
Health care specialties
Profile Details
NPI number | 1003833633 |
---|---|
LBN Legal business name | Mitchell, Mark Anthony |
Credentials | D.O., FACOEP-D FACEP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Nov 8th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003833633 | NPPES |
Florida | MEDICAID | 02281810 | |
Florida | MEDICAID | 036084550 | |
Florida | MEDICAID | 43502100 |
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