Most Relevant Information
Provider Data
NPI Number: | 1003420308 |
Provider Name: | NEKO FUTHEY PA |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | PA9112768 |
Most Important Dates
Enumeration Date: | 09/03/2020 |
Last Updated: | 04/26/2021 |
Provider Practice Location
255 SE 7TH AVE STE 3
CRYSTAL RIVER
FL
344294848
Practice Location Phone/Fax
Phone: | 3527946385 |
Fax: |
Provider Mailing Location
11528 US HIGHWAY 19
PORT RICHEY
FL
346681442
Provider Mailing Phone/Fax
Phone: | 8134691493 |
Fax: | 8139910482 |