George, Neal Punnakudyil

George, Neal Punnakudyil is an individual health care provider with primary practice located at 3801 S Kanner Hwy Ste 200 , Stuart FL 34994-4801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. George, Neal Punnakudyil can be contacted via phone (772) 223-4978.

Contact Information

Primary practice address
3801 S Kanner Hwy Ste 200 Stuart FL 34994-4801
Phone: (772) 223-4978
Fax: (772) 223-2847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X OS16065 Florida

Profile Details

NPI number 1871853507
LBN Legal business name George, Neal Punnakudyil
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2012
Last updated Oct 15th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871853507 NPPES
Florida Other ZCNXQ FLORIDA BLUE
Florida MEDICAID 103459900 FLORIDA BLUE

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