Provider Demographics
NPI:1477733178
Name:MIGLIS, MITCHELL FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:FRANCIS
Last Name:MIGLIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7074 PINECREST AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-3647
Mailing Address - Country:US
Mailing Address - Phone:321-676-1321
Mailing Address - Fax:321-952-4128
Practice Address - Street 1:7074 PINECREST AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-3647
Practice Address - Country:US
Practice Address - Phone:321-676-1321
Practice Address - Fax:321-952-4128
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004985111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK6562Medicare PIN