Healthcare Provider Details

I. General information

NPI: 1932099231
Provider Name (Legal Business Name): ROBERT ANDREW MITCHELL RN, SRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 SAN BENITO WAY UNIT 2
WEST PALM BEACH FL
33401-8330
US

IV. Provider business mailing address

1710 SAN BENITO WAY UNIT 2
WEST PALM BEACH FL
33401-8330
US

V. Phone/Fax

Practice location:
  • Phone: 561-906-8353
  • Fax: 561-906-8353
Mailing address:
  • Phone: 561-906-8353
  • Fax: 561-906-8353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number9514050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: