Mitchell, Thomas Raymond
Mitchell, Thomas Raymond is an individual health care provider with primary practice located at 126 Del Prado Blvd N Ste 102 , Cape Coral FL 33909-2713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mitchell, Thomas Raymond can be contacted via phone (239) 772-8900.Contact Information
Primary practice address
126 Del Prado Blvd N Ste 102
Cape Coral FL 33909-2713
Phone: (239) 772-8900
Fax: (239) 985-9762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 180983 | New York |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME126035 | Florida |
Profile Details
| NPI number | 1881687291 |
|---|---|
| LBN Legal business name | Mitchell, Thomas Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Dec 27th, 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 | 1881687291 | NPPES |
| New York | MEDICAID | 01161586 |
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