DR. GHAITH MITRI M.D. NPI 1770586828

NPI Information

NPI: 1770586828
Provider Name: DR. GHAITH MITRI, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
655 W 8TH ST
UFJP RHEUMATOLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209
Phone: (904) 383-1005
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DR. Ghaith Mitri, M.D. is a rheumatology internal medicine in Jacksonville, FL. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Ghaith Mitri, M.D. NPI is 1770586828. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

655 W 8TH ST
UFJP RHEUMATOLOGY DEPT.
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 383-1005

The enumeration date for this NPI number is 5/23/2005 and was last updated on 7/30/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	MD 35636	TENNESSEE	No
2	207RR0500X	Internal Medicine	Rheumatology	ME81491	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P00633183	MEDICARE PIN	FLORIDA
2	854077880A	MEDICAID	GEORGIA
3	2794144-00	MEDICAID	FLORIDA
4	3700592	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
5	3870948	MEDICAID	TENNESSEE
6	H54417	MEDICARE UPIN
7	AG174Z	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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