Healthcare Provider Details

I. General information

NPI: 1851657696
Provider Name (Legal Business Name): JAYME CRISTYNA MITCHELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1950 ARLINGTON ST STE 203
SARASOTA FL
34239-3516
US

IV. Provider business mailing address

1950 ARLINGTON ST STE 203
SARASOTA FL
34239-3516
US

V. Phone/Fax

Practice location:
  • Phone: 941-799-5753
  • Fax: 888-814-0877
Mailing address:
  • Phone: 941-799-5753
  • Fax: 888-814-0877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME126692
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: