Individual
PHYLLIS NEIMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 N 35TH AVE, SUITE-495, HOLLYWOOD, FL 33021-5424
(954) 265-5846
(954) 985-2451
Mailing address
PO BOX 862233, ORLANDO, FL 32886-2233
(954) 985-5846
(954) 985-2451
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
51811
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371903100
—
FL
Enumeration date
09/16/2005
Last updated
03/22/2013
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