Provider Demographics
NPI:1982907499
Name:NEIL S OZER M.D.P.A.
Entity type:Organization
Organization Name:NEIL S OZER M.D.P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:OZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-626-3355
Mailing Address - Street 1:3355 BURNS RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4353
Mailing Address - Country:US
Mailing Address - Phone:561-626-3355
Mailing Address - Fax:561-775-2791
Practice Address - Street 1:3355 BURNS RD
Practice Address - Street 2:SUITE 207
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4353
Practice Address - Country:US
Practice Address - Phone:561-626-3355
Practice Address - Fax:561-775-2791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25216207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
78260Medicare PIN
D58422Medicare UPIN