Germaine Mitchell
Clinic/Center, Developmental Disabilities in Miami, FL. Individual provider (NPI-1).
NPI number1407546971
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1407546971
- Entity type
- Individual (NPI-1)
- Name
- Germaine Mitchell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2023
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
Practice location
12025 Sw 206th St Apt 203Miami, FL 33177-4502
Phone 786-344-5422
Mailing address
12025 Sw 206th St Apt 203Miami, FL 33177-4502
Phone 786-344-5422
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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