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NPI Code Detail

MEDICARE: DR. PHYLLIS A NEEF MD

MEDICARE:  DR. PHYLLIS A NEEF  MD
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
1207R00000XInternal Medicine Physician35070313OH

Other Identifiers

General Provider Information

NPI Number : 1972594299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHYLLIS A NEEF MD
Provider Business Mailing Address
First Line : PO BOX 2147
Second Line :
City : FORT MYERS
State : FL
Zip : 33902-2147
Country : US
Telephone Number : 239-424-1400
Fax Number : 239-424-1421
Provider Business Practice Location Address
First Line : 3501 HEALTH CENTER BLVD
Second Line : SUITE 2310
City : BONITA SPRINGS
State : FL
Zip : 34135-8127
Country : US
Telephone Number : 239-939-0558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 02/21/2008

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Directions to “ DR. PHYLLIS A NEEF MD” Practice Location

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