Provider Demographics
NPI:1639387095
Name:NEFF, ANN G (MD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:G
Last Name:NEFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 BEE RIDGE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34233-1105
Mailing Address - Country:US
Mailing Address - Phone:941-927-5178
Mailing Address - Fax:941-921-5178
Practice Address - Street 1:3830 BEE RIDGE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34233-1105
Practice Address - Country:US
Practice Address - Phone:941-927-5178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35089547207N00000X
FLME106953207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009123500Medicaid
OH2747406Medicaid
FL43864OtherBCBS FL
OHNE4212594Medicare UPIN
OH2747406Medicaid
FL43864OtherBCBS FL
OHNE4212595Medicare UPIN
OHNE4212592Medicare UPIN
FL009123500Medicaid