Supler, Mitchell Lewis

Supler, Mitchell Lewis is an individual health care provider with primary practice located at 10000 W Colonial Dr Ste 284 , Ocoee FL 34761-3432. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Supler, Mitchell Lewis can be contacted via phone (321) 841-1570.

Contact Information

Primary practice address
10000 W Colonial Dr Ste 284 Ocoee FL 34761-3432
Fax: (321) 841-8185
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME 64445 Florida

Profile Details

NPI number 1114990553
LBN Legal business name Supler, Mitchell Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Sep 8th, 2023 - about 2 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 1114990553 NPPES
Florida MEDICAID 119418200
Florida Other 46892

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