Provider Demographics
NPI:1003845801
Name:NEYTMAN, GENE (DO)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:
Last Name:NEYTMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1674 MERIDIAN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-2801
Mailing Address - Country:US
Mailing Address - Phone:305-760-8756
Mailing Address - Fax:305-760-8759
Practice Address - Street 1:1674 MERIDIAN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2801
Practice Address - Country:US
Practice Address - Phone:305-760-8756
Practice Address - Fax:305-760-8759
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8861207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL277465800Medicaid
FL71075YMedicare PIN
FLH99079Medicare UPIN