Individual
DR. NEIL HANS SURTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24630 STATE ROAD 54, BUILDING 3, LUTZ, FL 33559-7307
(813) 948-3903
(813) 948-4157
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4928
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME87651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267647800
—
FL
Enumeration date
06/20/2005
Last updated
02/11/2015
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