Individual
KEREN NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PINE COURT LOOP, OCALA, FL 34472-9095
(352) 680-0988
(352) 680-0726
Mailing address
29 PINE COURT LOOP, OCALA, FL 34472-9095
(352) 680-0988
(352) 680-0726
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024400400
—
FL
Enumeration date
10/24/2013
Last updated
03/28/2019
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