Organization
GLORIA E MCNEIL MD., PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA ELAINE MCNEIL (OWNER)
(772) 462-6606
Entity
Organization
Contact information
Practice address
2402 FRIST BLVD, FORT PIERCE, FL 34950-4838
(772) 462-6606
(772) 462-6681
Mailing address
PO BOX 3079, FORT PIERCE, FL 34948-3079
(772) 812-1352
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0075634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268277000
—
FL
Enumeration date
03/18/2010
Last updated
03/18/2010
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