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NPI Code Detail

MEDICARE: SCOTT A. MITCHELL

MEDICARE: SCOTT A. MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1265791040
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A. MITCHELL
Provider Business Mailing Address
First Line : 3555 COMMONWEALTH BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-3119
Country : US
Telephone Number : 850-575-6422
Fax Number :
Provider Business Practice Location Address
First Line : 3555 COMMONWEALTH BLVD
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32303-3119
Country : US
Telephone Number : 850-575-6422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2012
Last Update Date : 07/21/2015

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Directions to “ SCOTT A. MITCHELL ” Practice Location

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