Provider Demographics
NPI:1912371600
Name:NEAL, SONJA
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:687 ASHFORD OAKS DR
Mailing Address - Street 2:APT 202
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-5563
Mailing Address - Country:US
Mailing Address - Phone:407-879-8978
Mailing Address - Fax:
Practice Address - Street 1:687 ASHFORD OAKS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-5563
Practice Address - Country:US
Practice Address - Phone:407-879-8978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care