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NPI Code Detail

MEDICARE: DR. SAMUEL JUSTIN MITCHELL CHIROPRACTOR

MEDICARE: DR. SAMUEL JUSTIN MITCHELL CHIROPRACTOR
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
1111N00000XChiropractorCH9900FL

General Provider Information

NPI Number : 1871815134
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMUEL JUSTIN MITCHELL CHIROPRACTOR
Provider Business Mailing Address
First Line : 6142 9TH AVENUE CIR NE
Second Line :
City : BRADENTON
State : FL
Zip : 34212-9559
Country : US
Telephone Number : 727-560-5559
Fax Number :
Provider Business Practice Location Address
First Line : 8792 STATE ROAD 70 E STE 101
Second Line :
City : BRADENTON
State : FL
Zip : 34202-3706
Country : US
Telephone Number : 941-756-4362
Fax Number : 941-755-4652
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2010
Last Update Date : 01/18/2023

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Directions to “ DR. SAMUEL JUSTIN MITCHELL CHIROPRACTOR” Practice Location

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