Provider Demographics
NPI:1942572052
Name:NEETA S. POHANI M.D. P.A.
Entity Type:Organization
Organization Name:NEETA S. POHANI M.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEETA
Authorized Official - Middle Name:S
Authorized Official - Last Name:POHANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-472-5775
Mailing Address - Street 1:19913 W NEWBERRY RD STE A
Mailing Address - Street 2:P.O.BOX 1287
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-2181
Mailing Address - Country:US
Mailing Address - Phone:352-472-5775
Mailing Address - Fax:352-472-5761
Practice Address - Street 1:19913 W NEWBERRY RD STE A
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-2181
Practice Address - Country:US
Practice Address - Phone:352-472-5775
Practice Address - Fax:352-472-5761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-04
Last Update Date:2012-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME80856261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264986100Medicaid
FL264986100Medicaid