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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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