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MITCH P. FEARING MD PA NPI 1699104620


NPI Information

NPI: 1699104620
Provider Name: MITCH P. FEARING MD, PA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
14819 NW 140TH ST
ALACHUA, FL
ZIP 32615
Phone: (386) 462-1327
Get Directions

MITCH P. FEARING MD, PA is a medical specialty clinic center in Alachua, FL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MITCH P. FEARING MD, PA NPI is 1699104620. The provider is registered as an organization entity type.

The provider's business location address is:

14819 NW 140TH ST
ALACHUA, FL
ZIP 32615-600
Phone: (386) 462-1327
Fax: (386) 462-1328

The provider's authorized official is Mitchel P. Fearing .
The authorized official title is Dr./owner and has the following contact phone number (386) 462-1327.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 11/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyME51798FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11982646642OTHERFLORIDANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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