Mitchell, Terri

Mitchell, Terri is an sole proprietor health care provider with primary practice located at 3840 Nw 178Th St , Miami Gardens FL 33055-3859. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Mitchell, Terri can be contacted via phone (305) 622-2651.

Contact Information

Primary practice address
3840 Nw 178Th St Miami Gardens FL 33055-3859
Phone: (305) 622-2651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X CFCE 1207-1703-95 Florida

Profile Details

NPI number 1962677567
LBN Legal business name Mitchell, Terri
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 18 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 1962677567 NPPES
Florida Other 300122900 MEDICAID PROVIDER NUMBER

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