Individual
DR. JEFFREY ALLAN NEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13770 PLANTATION RD, SUITE 2, FORT MYERS, FL 33912-4301
(239) 275-0728
(239) 275-6947
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT185247
PA
208C00000X
Colon & Rectal Surgery Physician
Primary
ME107209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002981900
—
FL
01
—
1231758
WELLCARE
FL
01
—
14A66
BCBS FL
FL
01
—
287851
UNIVERSAL
FL
01
—
P00956373
RAILROAD MCR
FL
Enumeration date
05/24/2009
Last updated
08/16/2016
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