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NPI Code Detail

MEDICARE: THOMAS C MITCHELL M.D.

MEDICARE: THOMAS C MITCHELL M.D.
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
1207X00000XOrthopaedic Surgery PhysicianME80468FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780613166
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS C MITCHELL M.D.
Provider Business Mailing Address
First Line : 1827 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-7605
Country : US
Telephone Number : 850-785-3799
Fax Number : 850-763-5456
Provider Business Practice Location Address
First Line : 1827 HARRISON AVE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-7605
Country : US
Telephone Number : 850-785-3799
Fax Number : 850-763-5456
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS C MITCHELL M.D.” Practice Location

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