MEDICARE: DR. ROBERT BEN MITCHELL D.O.

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	208D00000X	General Practice Physician	OS7690	FL

General Provider Information

NPI Number	:	1396903670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BEN MITCHELL D.O.

Provider Business Mailing Address
First Line	:	2630 W BROWARD BLVD STE 203-2008
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1314
Country	:	US
Telephone Number	:	786-262-5750
Fax Number	:

Provider Business Practice Location Address
First Line	:	143 SW 22ND TER
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33312-1444
Country	:	US
Telephone Number	:	786-262-5750
Fax Number	:

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

Provider Enumeration Date	:	05/23/2008
Last Update Date	:	02/15/2026

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