Individual
NEIL GEORGE GRANT ASTHANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7660
Mailing address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 863-7660
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME1033096
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027500
—
FL
Enumeration date
04/10/2008
Last updated
04/27/2011
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