Individual
JEFFREY D NEITLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 ALTON RD, ASCHER BLDG, 2ND FLOOR, MIAMI, FL 33140
(305) 674-3977
(305) 535-7919
Mailing address
4300 ALTON RD, ASCHER BLDG, 2ND FLOOR, MIAMI, FL 33140-2800
(305) 674-3977
(305) 535-7919
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
033400
CT
2085R0202X
Diagnostic Radiology Physician
Primary
064616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001334002
—
CT
Enumeration date
08/22/2005
Last updated
06/26/2018
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