Provider Demographics
NPI:1609199835
Name:NEAL CLINIC COMPREHENSIVE HEALTHCARE, P.L.
Entity Type:Organization
Organization Name:NEAL CLINIC COMPREHENSIVE HEALTHCARE, P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMILLON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-479-2700
Mailing Address - Street 1:2629 CREIGHTON RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-7340
Mailing Address - Country:US
Mailing Address - Phone:850-479-2700
Mailing Address - Fax:850-478-1631
Practice Address - Street 1:2629 CREIGHTON RD
Practice Address - Street 2:SUITE #1
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7340
Practice Address - Country:US
Practice Address - Phone:850-479-2700
Practice Address - Fax:850-478-1631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X
FLCH0003725111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL88835OtherMEDICARE
FLCH0003725OtherLICENSE NUMBER
FLT55989OtherUPIN
FL88835OtherMEDICARE