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Individual

WILLEM JACOBUS NEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2803 W SAINT ISABEL ST, TAMPA, FL 33607-6343
(813) 253-2273
(813) 253-2279
Mailing address
1988 GULF TO BAY BLVD, CLEARWATER, FL 33765-3550
(727) 953-8090
(727) 953-8088

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME92249
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME92249
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272770600
FL
01
64362
FL BCBS
FL
01
P00214152
MEDICARE RAILROAD
FL
Enumeration date
05/23/2006
Last updated
06/30/2022
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