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Individual

DR. NEETA MITROO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4725 N. FEDERAL HIGHWAY, FORT LAUDERDALE, FL 33308-4603
(954) 771-8000
(954) 776-3270
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35043446M
OH
207L00000X
Anesthesiology Physician
Primary
ME98416
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15403
BLUE CROSS BLUE SHIELD
FL
05
279802600
FL
Enumeration date
09/13/2005
Last updated
08/30/2012
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