Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | ME 121881 | FL |
NPI | 1295969830 |
---|---|
Provider Name | Dr. Joshua R Mitchell |
First Address | Tampa, FL 33607-6438 |
Second Address | Tampa, FL 33607-6438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2009 |
Last Update Date | 08/05/2015 |