Neiditz, Charles A.

Neiditz, Charles A. is an individual health care provider with primary practice located at 91550 Overseas Hwy Suite 205, Tavernier FL 33070-2506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Neiditz, Charles A. can be contacted via phone (305) 853-9236.

Contact Information

Primary practice address
91550 Overseas Hwy Suite 205 Tavernier FL 33070-2506
Fax: (305) 853-9238
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME99803 Florida

Profile Details

NPI number 1700849478
LBN Legal business name Neiditz, Charles A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 13th, 2013 - about 12 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 1700849478 NPPES
Florida MEDICAID 004050100
Florida MEDICAID 001225135

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