Individual
JOAN M MCNEELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1717 GARDEN ST, TITUSVILLE, FL 32796-5002
(321) 267-5577
(321) 264-0724
Mailing address
1717 GARDEN ST, TITUSVILLE, FL 32796-5002
(321) 267-5577
(321) 264-0724
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1457
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720451446
GROUP NPI
FL
01
—
87790
FLORIDA BLUE IDENTIFICATION NUMBER
FL
Enumeration date
11/14/2005
Last updated
05/25/2016
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