Individual
KENNETH M. NEIGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
40107 HWY 27, DAVENPORT, FL 33837
(863) 419-0692
(863) 419-1695
Mailing address
PO BOX 90758, LAKELAND, FL 33804-0758
(407) 566-9899
(407) 566-9893
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME86471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265992100
—
FL
Enumeration date
01/12/2007
Last updated
07/09/2014
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