Active NPI
Carol Mithil
- Driver
- Palm Bay, FL
National Provider Identifier
1740972157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- M340100664130
- Practice address
- 231 Abernathy Cir SE
Palm Bay, FL 32909-2346 - Phone
- (321) 210-1309
- NPI assigned
- May 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | M340100664130 | FL | Primary |
Addresses
Primary practice location
231 Abernathy Cir SE
Palm Bay, FL 32909-2346
Mailing address
3425 Bayside Lakes Blvd SE Ste 103
Palm Bay, FL 32909-6867
Phone (321) 210-1309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M340100664130 | FL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1740972157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 BAYSIDE LAKES BLVD SE STE 103",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329096867",
"telephone_number": "321-210-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 ABERNATHY CIR SE",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329092346",
"telephone_number": "321-210-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITHIL",
"first_name": "CAROL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-24",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "M340100664130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.