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Organization
JOAN M MCNEELA
Active
Organization
JOAN M MCNEELA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN M MCNEELA DPM (PODIATRIST/OWNER)
(321) 267-5577
Entity
Organization
Contact information
Practice address
1717 GARDEN ST, TITUSVILLE, FL 32796-5002
(321) 267-5577
(321) 264-0724
Mailing address
1717 GARDEN ST, TITUSVILLE, FL 32796-5002
(321) 267-5577
(321) 264-0724
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO1457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720451446
GROUP NPI
FL
01
—
4EDHK
FLORIDA BLUE INDENTIFICATION NUMBER FOR GROUP
FL
Enumeration date
11/03/2015
Last updated
05/25/2016
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