Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mitchell Bourne, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932859006

Mitchell Bourne, MD is an Internal Medicine in Gainesville, Florida. Graduated from Nova Southeastern College of Osteo Medicine in 2022, 4 years ago. Practices with Florida Clinical Practice Association Inc, a 1,885-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3450
Phone: (352) 265-0651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME172338 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932859006
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2022
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing addressPo Box 103204, Gainesville, FL 32610-3204

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2022 (4 years in practice)
Group practice Florida Clinical Practice Association Inc — 1885 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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