Pepe C McNeal
Specialist, Prosthetics Case Management in Tampa, FL. Individual provider (NPI-1).
NPI number1972016368
StatusActive
Last updated in NPPESNov 8, 2017
Details
- NPI
- 1972016368
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pepe C McNeal
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2017
- Last updated
- Nov 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | cl1193616 | FL | Yes |
Practice location
15241 North Dalemabry AveSola Salons (Studio #14
Tampa, FL 33618
Phone 813-389-1318
Mailing address
8706 N Renfrew PlTampa, FL 33604-2314
Phone 813-389-1318
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