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Contact Information

NEO DOC OF SWFL PA
1181 S SUMTER BLVD
#311
NORTH PORT, FL34287-2335
 Phone: 732-218-6005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

2080S0012X 37 Physician/Pediatric Medicine
 

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NEO DOC OF SWFL PA · (Female)

NPI Number 1396066940
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2010
Last updated 06/17/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME 101565
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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