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

Brandon Lamar Mitchell is a Medical Physician Assistant based in Atlanta, 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 820 Prudential Dr Ste 304, Jacksonville, FL and can be reached out via phone at 904-202-3860 and via fax at 904-202-3846.

Location: 820 Prudential Dr Ste 304, Jacksonville, FL, 30374-6638
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Provider Profile Details
NPI Number
1194092973
Provider Name
Brandon Lamar Mitchell
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
820 Prudential Dr Ste 304, Jacksonville, FL, 30374-6638
Phone Number
904-202-3860
Fax Number
904-202-3846
Provider Enumeration Date
11/22/2011
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006445300 05 FL
institution
Provider Business Practice Location Address Details
Address
820 Prudential Dr Ste 304
City
State
Zip
32207-8205
Phone Number
904-202-3860
Fax Number
904-202-3846
person
Provider Business Mailing Address Details
Address
820 Prudential Dr Ste 304
City
State
Zip
32207-8205
Phone Number
904-202-3860
Fax Number
904-202-3846
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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