Individual
BRENT EUGENE NEIDEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
13000 BRUCE B DOWNS BLVD # A, TAMPA, FL 33612-4745
(813) 972-2000
(813) 631-3380
Mailing address
12922 N OREGON AVE, TAMPA, FL 33612-3350
(813) 972-2000
(813) 631-3380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1181
FL
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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