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Individual

NEIL M NIREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1131 S ORANGE AVE, ORLANDO, FL 32806-1226
(941) 444-0011
(603) 952-3900
Mailing address
1629 ROYAL PALM WAY, BOCA RATON, FL 33432-7439
(412) 401-8833

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD025703E
PA
207N00000X
Dermatology Physician
Primary
ME105156
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017113660003
PA
01
0017134200
INDEPENDENCE BLUE SHIELD
PA
01
070012530
RAILROAD MEDICARE
01
101724
UPMC HEALTH PLAN
01
22133
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/07/2006
Last updated
12/08/2025
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