Jessica Mitchell, DC | |
1720 Fennell St, Suite 6, Maitland, FL 32751-8672 | |
(321) 972-4422 | |
(321) 800-3038 |
Full Name | Jessica Mitchell |
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Gender | Female |
Speciality | Chiropractor |
Location | 1720 Fennell St, Maitland, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023433117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 11113 (Florida) | Primary |
Provider Name | Wellspring Health Orlando Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760930325 PECOS PAC ID: 5193093490 Enrollment ID: O20170608002775 |
Mailing Address | Practice Location Address |
---|---|
Jessica Mitchell, DC 1720 Fennell St, Suite 6, Maitland, FL 32751-8672 Ph: (321) 972-4422 | Jessica Mitchell, DC 1720 Fennell St, Suite 6, Maitland, FL 32751-8672 Ph: (321) 972-4422 |
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