Provider Demographics
NPI:1750440616
Name:SPIELHOLZ, NEIL I (PHD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:I
Last Name:SPIELHOLZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 S UNIVERSITY DR
Mailing Address - Street 2:OROFACIAL PAIN CLINIC
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2018
Mailing Address - Country:US
Mailing Address - Phone:954-262-4309
Mailing Address - Fax:954-262-3882
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:OROFACIAL PAIN CLINIC
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-4309
Practice Address - Fax:954-262-3882
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT62151744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744R1102XOther Service ProvidersSpecialistResearch Study
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT6215OtherPHYSICAL THERAPIST