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Cleveland Mitchner

NPI 1447590153 · on the registry since 2013 · sole proprietor

Practice

Address
3117 W Dixie Blvd
Fort Pierce, FL 34946
Phone
(772) 828-7167

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-02-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida