Kenneth A. Neifeld, M.d. | |
2191 9th Ave N Suite 110 Saint Petersburg FL 33713-7147 | |
(727) 820-7778 | |
(727) 820-7779 |
Full Name | Kenneth A. Neifeld, M.d. |
---|---|
Speciality | Internal Medicine |
Location | 2191 9th Ave N, Saint Petersburg, Florida |
Authorized Official Name and Position | Tatiana Chumbley (ADMINISTRATOR) |
Authorized Official Contact | 7274988699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kenneth A. Neifeld, M.d. 2191 9th Ave N Suite 110 Saint Petersburg FL 33713-7147 Ph: (727) 820-7778 | Kenneth A. Neifeld, M.d. 2191 9th Ave N Suite 110 Saint Petersburg FL 33713-7147 Ph: (727) 820-7778 |
NPI Number | 1265613244 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 01/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265613244 | NPI | - | NPPES |
373852300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME64972 (Florida) | Primary |
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