Individual
DR. SARAH ANNE NEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-4225
(321) 434-4247
Mailing address
1304 OAK ST, MELBOURNE, FL 32901-3111
(321) 723-4723
(321) 727-1448
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
73696
MA
207L00000X
Anesthesiology Physician
ME94662
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
73696
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
ME94662
FL
208M00000X
Hospitalist Physician
ME94662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126292500
—
FL
01
—
M2015
MEDICARE
FL
01
—
VE727
MEDICARE HF
FL
Enumeration date
12/20/2006
Last updated
06/03/2025
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