Individual
MR. PEPE C MCNEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15241 NORTH DALEMABRY AVE, SOLA SALONS (STUDIO #14, TAMPA, FL 33618
(813) 389-1318
Mailing address
8706 N RENFREW PL, TAMPA, FL 33604-2314
(813) 389-1318
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL1193616
FL
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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