Individual
ILEY COLEMAN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5601 N DIXIE HWY, STE 115, FT. LAUDERDALE, FL 33334
(954) 771-4271
(954) 776-5959
Mailing address
PO BOX 31796, TAMPA, FL 33631-3796
(954) 851-9966
(954) 318-7350
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME57956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400878
GHI
—
01
—
0800138
UNITED HEALTHCARE
—
01
—
10480
BCBS
FL
01
—
180033429
RAILROAD MEDICARE
—
01
—
5443058
AETNA
—
01
—
591932202
HUMANA
—
Enumeration date
07/10/2006
Last updated
03/22/2021
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