Provider Demographics
NPI:1821198987
Name:WARSHOFF, NEAL (DO)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:WARSHOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13005 SOUTHERN BLVD
Mailing Address - Street 2:SUITE 235
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-9206
Mailing Address - Country:US
Mailing Address - Phone:561-795-1022
Mailing Address - Fax:561-792-0361
Practice Address - Street 1:13005 SOUTHERN BLVD
Practice Address - Street 2:SUITE 235
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-9206
Practice Address - Country:US
Practice Address - Phone:561-795-1022
Practice Address - Fax:561-792-0361
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2010-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS5639207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL042081600Medicaid
E90446Medicare UPIN
FL80180ZMedicare ID - Type Unspecified