MEDICARE: CARUSO-DOERR INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	OS8846	FL

General Provider Information

NPI Number	:	1619429495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARUSO-DOERR INC.

Provider Business Mailing Address
First Line	:	5327 COMMERCIAL WAY STE B108
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1499
Country	:	US
Telephone Number	:	352-616-0233
Fax Number	:	352-616-0236

Provider Business Practice Location Address
First Line	:	5327 COMMERCIAL WAY STE B108
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606-1499
Country	:	US
Telephone Number	:	352-616-0233
Fax Number	:	352-616-0236

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STEPHEN M MITCHELL
Credential	:	DO
Telephone Number	:	352-616-0233

Provider Enumeration Date	:	10/27/2016
Last Update Date	:	10/27/2016

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Directions to “CARUSO-DOERR INC. ” Practice Location

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