MEDICARE: DR. LORRAINE NOREEN MITCHELL MD

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	208000000X	Pediatrics Physician	ME130337	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750335493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORRAINE NOREEN MITCHELL MD

Provider Business Mailing Address
First Line	:	11334 DAVISON LN
Second Line	:
City	:	TAVARES
State	:	FL
Zip	:	32778-4840
Country	:	US
Telephone Number	:	910-382-0925
Fax Number	:

Provider Business Practice Location Address
First Line	:	3607 ALOMA AVE STE 1091
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8856
Country	:	US
Telephone Number	:	321-340-5919
Fax Number	:	321-465-7433

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	04/06/2026

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