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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X N5251 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.010137 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036084550 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44861-21 Wisconsin
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13723 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34.010137 Ohio
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO.000259 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 7157 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13723 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO-04144 Iowa
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X N5251 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44861-21 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036084550 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OD14965 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS14965 Florida

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 3 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 1003833633 NPPES
Florida MEDICAID 02281810
Florida MEDICAID 036084550
Florida MEDICAID 43502100

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