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Brandon Lamar Mitchell, PAC
Medical Physician Assistant in Jacksonville, Florida
NPI 1194092973

Brandon Lamar Mitchell is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Brandon Lamar Mitchell practices in Jacksonville, FL and has the professional credentials of PAC. The NPI Number for Brandon Lamar Mitchell is 1194092973 and holds a License No. PA9106322 (Florida).

The current practice location address for Brandon Lamar Mitchell is 1200 Riverplace Blvd, Jacksonville, FL and can be reached out via phone at 904-396-6620 and via fax at 904-396-6528. You can also correspond with Brandon Lamar Mitchell through the mailing address at 1200 RIVERPLACE BLVD, JACKSONVILLE, FL - 32207-9046 (mailing address contact number: 904-396-6620).

Location: 1200 Riverplace Blvd, Jacksonville, FL, 32207-9046
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Provider Profile Details
NPI Number
1194092973
Provider Name
Brandon Lamar Mitchell
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1200 Riverplace Blvd, Jacksonville, FL, 32207-9046
Phone Number
904-396-6620
Fax Number
904-396-6528
Provider Enumeration Date
11/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006445300 05 FL
institution
Provider Business Practice Location Address Details
Address
1200 Riverplace Blvd
City
State
Zip
32207-9046
Phone Number
904-396-6620
Fax Number
904-396-6528
person
Provider Business Mailing Address Details
Address
1200 Riverplace Blvd
City
State
Zip
32207-9046
Phone Number
904-396-6620
Fax Number
904-396-6528
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9106322 (Florida)
Definition
Definition to come...
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