Individual
NEIL JOHNATHON FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
341 ALLISON DR, PALM BAY, FL 32908-6405
(321) 543-9830
(321) 256-6212
Mailing address
341 ALLISON DR, PALM BAY, FL 32908-6405
(321) 282-1499
(321) 256-6212
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN11002739
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11002739
FL
Other
Enumeration date
06/23/2019
Last updated
01/30/2021
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