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General NPI Number Information
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NPI Number | 1053593194
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Entity Type | Organization
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Legal Business Name | ALAN L MITCHELL MD PA
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 22023 STATE ROAD 7 SUITE 102
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City | BOCA RATON
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State | FL
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Zip | 33428-3401
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Country | US
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Telephone | 561-451-0655
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Fax | 561-451-2660
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Provider Business Mailing Address
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Address Line | 22023 STATE ROAD 7 SUITE 102
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City | BOCA RATON
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State | FL
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Zip | 33428-3401
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Country | US
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Telephone | 561-451-0655
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Fax | 561-451-2660
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN LEWIS MITCHELL I
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Credential | M.D.
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Telephone | 561-451-0655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | ME57319
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License Number State | FL
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