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General NPI Number Information
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NPI Number | 1730760257
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Entity Type | Individual
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Provider Name | MITCHELL ARTHUR JOSEPH GULLIFER PA
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Gender | Male
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 4725 US HIGHWAY 98 S STE 101-102
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City | LAKELAND
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State | FL
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Zip | 33812-4334
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Country | US
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Telephone | 863-274-9700
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Fax | 863-328-9700
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Provider Business Mailing Address
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Address Line | 3334 CAPITAL MEDICAL BLVD STE 400
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4470
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Country | US
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Telephone | 850-877-8174
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Fax | 844-261-6839
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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