Individual
MS. KIM ELAINE NEALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
611 NE 25TH AVE, OCALA, FL 34470-7033
(352) 207-3887
(352) 369-1122
Mailing address
PO BOX 5222, OCALA, FL 34478-5222
(352) 207-3887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA28078
FL
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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