Provider Demographics
NPI:1902909955
Name:AHNER, NEIL A (MD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:A
Last Name:AHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NEIL
Other - Middle Name:
Other - Last Name:AHNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10333 N MILITARY TRAIL
Mailing Address - Street 2:SUITE A
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410
Mailing Address - Country:US
Mailing Address - Phone:561-630-3696
Mailing Address - Fax:561-630-1991
Practice Address - Street 1:10333 N MILITARY TRAIL
Practice Address - Street 2:SUITE A
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410
Practice Address - Country:US
Practice Address - Phone:561-630-3696
Practice Address - Fax:561-630-1991
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0039966207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D21827Medicare UPIN
61258Medicare ID - Type Unspecified