Provider Demographics
NPI:1154367522
Name:SMERLING, NEIL E (MD)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:E
Last Name:SMERLING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 WINKLER AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33901-9342
Mailing Address - Country:US
Mailing Address - Phone:941-429-3416
Mailing Address - Fax:941-429-3430
Practice Address - Street 1:18659 TAMIAMI TRL STE A
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34287-7388
Practice Address - Country:US
Practice Address - Phone:414-293-4169
Practice Address - Fax:941-429-3430
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME141467207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110004952Medicare ID - Type Unspecified
E85064Medicare UPIN