Provider Demographics
NPI:1962546408
Name:MITCHELL, FRANCES K (PA)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:K
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4500 SE 40TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-7348
Mailing Address - Country:US
Mailing Address - Phone:404-452-6646
Mailing Address - Fax:
Practice Address - Street 1:4701 SW COLLEGE RD STE 102
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4739
Practice Address - Country:US
Practice Address - Phone:352-861-5565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-17
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9104556363A00000X
GA004981363A00000X
FLPA9104556363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant