Healthcare Provider Details

I. General information

NPI: 1144683053
Provider Name (Legal Business Name): NEEL BEKAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 09/11/2025
Certification Date: 03/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 S TAMIAMI TRL
SARASOTA FL
34239-3509
US

IV. Provider business mailing address

5997 ANISE DR
SARASOTA FL
34238-5145
US

V. Phone/Fax

Practice location:
  • Phone: 904-236-5884
  • Fax:
Mailing address:
  • Phone: 513-314-5797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberME164027
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: