Individual
MICHAEL ANTHONY MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1950 BLUEWATER BLVD, SUITE 101, NICEVILLE, FL 32578-3888
(850) 897-3334
(850) 897-7855
Mailing address
1950 BLUEWATER BLVD, SUITE 101, NICEVILLE, FL 32578-3888
(850) 897-3334
(850) 897-7855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18882
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y906W
BCBSFL GROUP #
FL
Enumeration date
06/26/2006
Last updated
07/08/2007
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