MEDICARE: DR. JULIANA ELIZABETH MITCHELL DC

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
1	111N00000X	Chiropractor	CH131114	FL

General Provider Information

NPI Number	:	1366045940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIANA ELIZABETH MITCHELL DC

Provider Business Mailing Address
First Line	:	2530 PERSHING AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-7358
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4561 34TH ST
Second Line	:	SUITE B
City	:	ORLANDO
State	:	FL
Zip	:	32811-6433
Country	:	US
Telephone Number	:	561-866-3375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	12/06/2024

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