| Neal Beightol, MD, PA | |
|
1845 San Marco Rd Ste 303 Marco Island FL 34145-6712 | |
| (239) 649-5020 | |
| (239) 307-5193 |
| Full Name | Neal Beightol, MD, PA |
|---|---|
| Speciality | Family Medicine |
| Location | 1845 San Marco Rd Ste 303, Marco Island, Florida |
| Authorized Official Name and Position | Neal Beightol (OWNER) |
| Authorized Official Contact | 2396495020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neal Beightol, MD, PA Po Box 7279 Naples FL 34101-7279 Ph: (239) 649-5020 | Neal Beightol, MD, PA 1845 San Marco Rd Ste 303 Marco Island FL 34145-6712 Ph: (239) 649-5020 |
| NPI Number | 1952330722 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 4284686635 |
|---|---|
| Medicare Enrollment ID | O20050215000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952330722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME69583 (Florida) | Primary |
| Provider Name | Neal L Beightol |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104855972 PECOS PAC ID: 4183676539 Enrollment ID: I20050216000025 |
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