Provider Demographics
NPI:1366045940
Name:MITCHELL, JULIANA ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIANA
Middle Name:ELIZABETH
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2160 W STATE ROAD 434 STE 108
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-5003
Mailing Address - Country:US
Mailing Address - Phone:407-331-9913
Mailing Address - Fax:
Practice Address - Street 1:2160 W STATE ROAD 434 STE 108
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-5003
Practice Address - Country:US
Practice Address - Phone:407-331-9913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-17
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH131114111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor