Search › Florida › 222Q00000X
Mildred Mortimer
NPI 1730523150 · on the registry since 2013
Practice
- Address
- 16539 Lake Brigadoon Cir
Tampa, FL 33618 - Phone
- (813) 579-2212
- Fax
- (813) 345-2896
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Also registered as
- 104100000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-04-12
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