Healthcare Provider Details

I. General information

NPI: 1679101018
Provider Name (Legal Business Name): NEEL KAPOOR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2020
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20900 BISCAYNE BLVD
AVENTURA FL
33180-1495
US

IV. Provider business mailing address

3470 E COAST AVE APT 2104
MIAMI FL
33137-3994
US

V. Phone/Fax

Practice location:
  • Phone: 305-682-7000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number77702
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: