Individual
NEIL MOUDGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 3RD FLOOR, TAMPA, FL 33606-3603
(813) 259-0956
(813) 259-0606
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD431182
PA
2086S0129X
Vascular Surgery Physician
Primary
ME114031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007868400
—
FL
01
—
14N1U
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/18/2007
Last updated
03/05/2013
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