MEDICARE: SUSAN NEIL PMHNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN1686782	FL

General Provider Information

NPI Number	:	1831582378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN NEIL PMHNP

Provider Business Mailing Address
First Line	:	4031 DIXIE HWY NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-3682
Country	:	US
Telephone Number	:	321-622-3222
Fax Number	:	321-622-3203

Provider Business Practice Location Address
First Line	:	4031 DIXIE HWY NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-3682
Country	:	US
Telephone Number	:	321-622-3222
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2015
Last Update Date	:	11/01/2023

Similar Medicare Providers

1376619072 — DR. RICHARD M BUNT M.D.
Practice Location Address:

4031 DIXIE HWY NE
PALM BAY, FL
32905-3682

Practice Phone: 321-622-3222
Practice Fax: 321-622-3203

1073636775 — KEVIN VINCENT MASTURZO LCSW
Practice Location Address:

4031 DIXIE HWY NE
PALM BAY, FL
32905-3682

Practice Phone: 321-622-3222
Practice Fax:

1265808299 — GLORIA RAE JOHNSON NURSE PRACTITIONER
Practice Location Address:

4031 DIXIE HWY NE
PALM BAY, FL
32905-3682

Practice Phone: 321-622-3222
Practice Fax:

1184450439 — MARY FRAZIER NREMT
Practice Location Address:

33038 LONG BAY RD
WAGONER, OK
74467-3682

Practice Phone: 918-485-9500
Practice Fax:

1194896993 — PISANI'S ORTHOTICS AND PROSTHETICS, INC.
Practice Location Address:

3208 2ND AVE N , SUITE 5
PALM SPRINGS, FL
33461-3682

Practice Phone: 561-433-1556
Practice Fax: 561-433-5298

1396118873 — DR. DESIREE BAKER PHARMD
Practice Location Address:

3208 2ND AVE N , STE 4
PALM SPRINGS, FL
33461-3682

Practice Phone: 561-651-9393
Practice Fax: 561-530-4968

Directions to “ SUSAN NEIL PMHNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.