Individual
DR. NEAL A HONICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
540 MEDICAL OAKS AVE STE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 685-0895
Mailing address
540 MEDICAL OAKS AVE STE 103, BRANDON, FL 33511-5995
(813) 684-2211
(813) 655-7669
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME77419
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
ME77419
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255555700
—
FL
Enumeration date
06/20/2005
Last updated
04/26/2022
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