Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 46775 | FL |
NPI | 1114000650 |
---|---|
Provider Name | Michael George Neam |
First Address | Lake Worth, FL 33449-4615 |
Second Address | Lake Worth, FL 33449-4615 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 18/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041686000 | (05) | FL |
D27818 | (02) | FL |