Individual
DR. CHARLES A. NEIDITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
91550 OVERSEAS HWY, SUITE 205, TAVERNIER, FL 33070-2506
(305) 853-9236
(305) 853-9238
Mailing address
91550 OVERSEAS HWY, SUITE 205, TAVERNIER, FL 33070-2506
(305) 853-9236
(305) 853-9238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME99803
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001225135
—
CT
05
—
004050100
—
FL
Enumeration date
04/11/2006
Last updated
02/13/2013
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