Provider Demographics
NPI:1912559048
Name:MCNEAVE, GEOFFREY E (CST, CSFA, CSA)
Entity Type:Individual
Prefix:
First Name:GEOFFREY
Middle Name:E
Last Name:MCNEAVE
Suffix:
Gender:M
Credentials:CST, CSFA, CSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 KEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2571
Mailing Address - Country:US
Mailing Address - Phone:727-543-2057
Mailing Address - Fax:
Practice Address - Street 1:6410 KEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2571
Practice Address - Country:US
Practice Address - Phone:727-543-2057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-09
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
177475246ZS0410X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist