Neetz, Charles E

Neetz, Charles E is an individual health care provider with primary practice located at 1070 N Stone St Ste A , Deland FL 32720. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Neetz, Charles E can be contacted via phone (386) 943-7100.

Contact Information

Primary practice address
1070 N Stone St Ste A Deland FL 32720
Phone: (386) 943-7100
Fax: (386) 943-8909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP132452 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN11001681 Florida

Profile Details

NPI number 1215489513
LBN Legal business name Neetz, Charles E
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2016
Last updated Jun 20th, 2019 - about 5 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 1215489513 NPPES
Texas MEDICAID 386389601
Texas Other 386389602

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