DR. CHARLES A. NEIDITZ (NPI# 1700849478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700849478 |
| Entity Type | Individual |
| Full Name | DR. CHARLES A. NEIDITZ |
| Credential | MD |
| Practice Address |
91550 Overseas Hwy Suite 205 Tavernier FL 33070-2506 |
| Practice Telephone | 3058539236 |
| Practice Fax Number | 3058539238 |
| Mailing Telephone | 3058539236 |
| Mailing Fax Number | 3058539238 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2013-02-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME99803 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 004050100 | 05 | |
| CT | 001225135 | 05 |
| Street Address |
91550 OVERSEAS HWY SUITE 205 |
| City | TAVERNIER |
| State | FL |
| Zip Code | 33070-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407832520 | John L Weare Jr. | Pediatrics | 91550 Overseas Hwy, Suite 209, Tavernier, FL 33070-2506 | 2005-12-20 |
| 1952857351 | Christine Haugen Md Pa | Plastic Surgery | 91550 Overseas Hwy, Suite 207, Tavernier, FL 33070-2506 | 2016-08-26 |
| 1578859021 | Nelson A Terzian Md Pa | Urology | 91550 Overseas Hwy, Suite #104, Tavernier, FL 33070-2506 | 2011-06-23 |
| 1568697704 | Florida Foot & Ankle Associates, LLC | Podiatrist | 91550 Overseas Hwy, Suite 107, Tavernier, FL 33070-2506 | 2009-05-18 |
| 1609061225 | Brian P Magrane Mdpa | Family Medicine | 91550 Overseas Hwy, Suite 109, Tavernier, FL 33070-2506 | 2007-09-06 |
| 1962546481 | Sharon Ann Timmerman | Nurse Practitioner | 91550 Overseas Hwy, Suite 215, Tavernier, FL 33070-2506 | 2007-02-16 |
| 1780721837 | Nelson A Terzian | Urology | 91550 Overseas Hwy, Suit 104, Tavernier, FL 33070-2506 | 2007-01-30 |
| 1033268735 | Florida Keys Pediatric and Adolescent Center, Inc | Clinic/Center | 91550 Overseas Hwy, Suite 209, Tavernier, FL 33070-2506 | 2007-01-10 |
| 1609937150 | The Florida Keys Center for Plastic Surgery | Plastic Surgery | 91550 Overseas Hwy, Suite 205, Tavernier, FL 33070-2506 | 2006-12-12 |
| 1033277728 | Elisa M Brown-soltero | Psychiatry & Neurology | 91550 Overseas Hwy, Medical Arts Building Suite 115, Tavernier, FL 33070-2506 | 2006-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603739 | Stella Del Mare, LLC | Internal Medicine | 90130 Old Highway, Tavernier, FL 33070 | 2020-09-09 |
| 1104324524 | Alliance Healthcare Network Inc | Case Management | 92330 Overseas Hwy Ste 106, Tavernier, FL 33070 | 2018-01-31 |
| 1821335639 | Jacqueline Gavin | Nurse Practitioner | 91500 Overseas Highway, Tavernier, FL 33070 | 2013-01-14 |
| 1417131913 | Keys Physician Services Pa | Internal Medicine | 91500 O/s Hwy, Mariners Hospital, Tavernier, FL 33070 | 2007-12-20 |
| 1558553479 | Baptist Health Medical Group Upper Keys, LLC | Specialist | 91550 Overseas Highway, Suite 215, Tavernier, FL 33070 | 2007-08-14 |
| 1003037532 | John L Izanec Dds Pa | Dentist | 91750 Overseas Hwy, Tavernier, FL 33070 | 2007-05-01 |
| 1669591277 | Erica R Lieberman -garrett | Chiropractor | 90290 Overseas Highway, Suite 110, Tavernier, FL 33070 | 2007-03-28 |
| 1356362727 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 92100 Overseas Hwy, Tavernier, FL 33070 | 2006-07-21 |
| 1376580712 | Plantation Key Convalescent Center Inc | Skilled Nursing Facility | 48 High Point Road, Tavernier, FL 33070 | 2006-06-02 |
| 1669983680 | Epione Physician Services Inc | Voluntary or Charitable | 91500 Overseas Hwy, Tavernier, FL 33070 | 2017-10-17 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603739 | Stella Del Mare, LLC | Internal Medicine | 90130 Old Highway, Tavernier, FL 33070 | 2020-09-09 |
| 1417131913 | Keys Physician Services Pa | Internal Medicine | 91500 O/s Hwy, Mariners Hospital, Tavernier, FL 33070 | 2007-12-20 |
| 1750424958 | Internal Medicine of The Keys, Inc | Internal Medicine | 91550 Overseas Hwy Ste 105, Tavernier, FL 33070-2513 | 2007-02-15 |
| 1972604775 | Bernard Paul Ginsberg | Internal Medicine | 91555 Overseas Hwy, Suite 3, Tavernier, FL 33070-2505 | 2006-09-26 |
| 1700803301 | Barbara Socha | Internal Medicine | 91550 Overseas Hwy Ste 215, Tavernier, FL 33070-2513 | 2006-07-17 |
| 1740815893 | Stella Del Mare, LLC | Internal Medicine | 90130 Old Hwy, Tavernier, FL 33070-2368 | 2020-03-10 |
| 1033645411 | Xavier Romeo Ramos | Internal Medicine | 90130 Old Hwy, Tavernier, FL 33070-2368 | 2017-05-04 |
| 1093745713 | Brent Alan Sperry | Internal Medicine | 91500 Overseas Hwy, Tavernier, FL 33070-2547 | 2006-07-05 |
| 1710917562 | Eugene Lloyd Manuel | Internal Medicine | 91500 Overseas Hwy, Tavernier, FL 33070-2547 | 2006-07-04 |
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| 1821699034 | Sia - Specialty Infusion LLC | Internal Medicine | 2200 Glades Rd Ste 304, Boca Raton, FL 33431-7348 | 2020-11-04 |
| 1255932703 | Cape Coral Integrated Medical | Internal Medicine | 643 Cape Coral Pkwy E Ste E, Cape Coral, FL 33904-8549 | 2020-11-02 |
| 1497355887 | Orange Care Physician Partners of Florida, LLC | Internal Medicine | 14750 Nw 77th Ct Ste 308, Miami Lakes, FL 33016-1537 | 2020-10-27 |
| 1811596562 | Shari Rosenbaum Md Pllc | Internal Medicine | 1905 Clint Moore Rd Ste 204, Boca Raton, FL 33496-2660 | 2020-10-23 |
| 1801495585 | United Teledoc Inc | Internal Medicine | 231 Del Prado Blvd S, Cape Coral, FL 33990-5707 | 2020-10-22 |
| 1467051896 | Jermaine Campbell Do, LLC | Internal Medicine | 2701 N Course Dr Apt 125, Pompano Beach, FL 33069-3030 | 2020-10-16 |
| 1245838150 | Neighbormd of Tamarac LLC | Internal Medicine | 7646 N Nob Hill Rd, Tamarac, FL 33321-1869 | 2020-10-13 |
| 1841898756 | Neighbormd of Miami Beach LLC | Internal Medicine | 4302 Alton Rd Ste 320, Miami Beach, FL 33140-2818 | 2020-10-13 |
| 1437757358 | Neighbormd of Palm Beach Gardens | Internal Medicine | 3345 Burns Rd Ste 204&205, Palm Beach Gardens, FL 33410-4324 | 2020-10-13 |
| 1306444211 | Neighbormd of Aventura LLC | Internal Medicine | 2845 Aventura Blvd Ste 240, Aventura, FL 33180-3120 | 2020-10-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.