Healthcare Provider Details

I. General information

NPI: 1891023495
Provider Name (Legal Business Name): SARAH ELIZABETH MITCHELL D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2009
Last Update Date: 04/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2789 S STATE ROAD 7 STE 100
WELLINGTON FL
33414-9320
US

IV. Provider business mailing address

2950 CLEVELAND CLINIC BLVD
WESTON FL
33331-3625
US

V. Phone/Fax

Practice location:
  • Phone: 561-898-5100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS15167
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: