DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. TAKEISHA MITCHELL-INGRAM

MEDICARE: MRS. TAKEISHA MITCHELL-INGRAM
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
1261QD1600XDevelopmental Disabilities Clinic/Center

General Provider Information

NPI Number : 1801312830
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAKEISHA MITCHELL-INGRAM
Provider Business Mailing Address
First Line : 1778 SW NEWPORT ISLES BLVD
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34953-4590
Country : US
Telephone Number : 561-818-1101
Fax Number :
Provider Business Practice Location Address
First Line : 130 S INDIAN RIVER DR STE 202
Second Line :
City : FORT PIERCE
State : FL
Zip : 34950-4353
Country : US
Telephone Number : 772-905-9030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 08/22/2017

Similar Medicare Providers

1659033900 — MAURICIO GARCIA LOSADA
Practice Location Address:
130 S INDIAN RIVER DR STE 237
FORT PIERCE, FL
34950-4353
Practice Phone: 305-795-0600
Practice Fax:
1508014762 — MRS. NICOLE D CANTERELLA PMHNP, BC
Practice Location Address:
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL
34950-4353
Practice Phone: 772-773-0229
Practice Fax: 772-272-8600
1740606037 — SHIRLEY BARCLAY LCSW
Practice Location Address:
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL
34950-4353
Practice Phone: 772-773-0229
Practice Fax: 772-272-8600
1245691302 — JENNIFER HANDMAN PHLEBOTOMIST
Practice Location Address:
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL
34950-4353
Practice Phone: 347-680-0121
Practice Fax:
1063867828 — PREMIER PLUS MEDICAL SUPPLIES INC
Practice Location Address:
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL
34950-4353
Practice Phone: 954-866-0251
Practice Fax:
1275042483 — BASE MEDICAL SUPPLY INC.
Practice Location Address:
130 S INDIAN RIVER DR STE 202
FORT PIERCE, FL
34950-4353
Practice Phone: 772-618-1183
Practice Fax: 772-672-3014

Directions to “ MRS. TAKEISHA MITCHELL-INGRAM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.