Search › Florida › 332H00000X
Edward Mitchell, LDO
NPI 1811139462 · on the registry since 2009 · sole proprietor
Practice
- Address
- 4100 S Ferdon Blvd Ste B5
Crestview, FL 32536 - Phone
- (850) 758-0474
- Fax
- (850) 682-0057
- Organisation at this address
- Triple E Ot Inc
Prime Therapy, Inc
Cabana Eyes Optical
Kids Talk Place Llc
Michelle H Stevens Md PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 35
Additional practice sites
- 4724 Whitewater Ln, Crestview, FL
Registry record
- Primary taxonomy
- 332H00000X
332H00000X
- Also registered as
- 156FC0801X
156FX1800X
156FX1800X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-15
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