Dr. Mark Anthony Mitchell
Internist Emergency Physician and 11 more
6800 Broken Sound Pkwy Nw Ste 150a
Boca Raton
, Florida 33487-5709
Dr. Mark Anthony Mitchell
Internist Emergency Physician and 11 more
6800 Broken Sound Pkwy Nw Ste 150a
Boca Raton
, Florida 33487-5709
(312) 369-9727
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About
Features
Specialties
- Emergency Physician
- Internist
Languages spoken
- English
Location
First Address
- Dr. Mark Anthony Mitchell
- 2074 Woodlake Cir
- Deerfield Beach, FL
- Zip : 33442-3726
- Phone : (312) 369-9727
Second Address
- Dr. Mark Anthony Mitchell
- 6800 Broken Sound Pkwy Nw Ste 150a
- Boca Raton, FL
- Zip : 33487-5709
- Phone : (305) 682-7292
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207P00000X | Emergency Physician | 036084550 | IL |
| N | 207P00000X | Emergency Physician | 13723 | MS |
| N | 207P00000X | Emergency Physician | 34.010137 | OH |
| N | 207P00000X | Emergency Physician | 44861-21 | WI |
| N | 207P00000X | Emergency Physician | DO-04144 | IA |
| N | 207P00000X | Emergency Physician | N5251 | TX |
| Y | 207P00000X | Emergency Physician | OS14965 | FL |
| N | 207R00000X | Internist | 036084550 | IL |
| N | 111NI0900X | Internist | 036084550 | IL |
| N | 207R00000X | Internist | 13723 | MS |
| N | 111NI0900X | Internist | 13723 | MS |
| N | 207R00000X | Internist | 34.010137 | OH |
| N | 111NI0900X | Internist | 34.010137 | OH |
| N | 207R00000X | Internist | 44861-21 | WI |
| N | 111NI0900X | Internist | 44861-21 | WI |
| N | 207R00000X | Internist | DO-04144 | IA |
| N | 111NI0900X | Internist | DO-04144 | IA |
| N | 207R00000X | Internist | DO.000259 | LA |
| N | 111NI0900X | Internist | DO.000259 | LA |
| N | 207R00000X | Internist | N5251 | TX |
| N | 111NI0900X | Internist | N5251 | TX |
| N | 207R00000X | Internist | OD14965 | FL |
| N | 111NI0900X | Internist | OD14965 | FL |
National Provider Identifier
| NPI | 1003833633 |
|---|---|
| Provider Name | Dr. Mark Anthony Mitchell |
| First Address | Deerfield Beach, FL 33442-3726 |
| Second Address | Boca Raton, FL 33487-5709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 15/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02281810 | (05) | FL |
| 036084550 | (05) | IL |
| 43502100 | (05) | WI |
| E97193 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.