Neo Medical Center LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NEO MEDICAL CENTER LLC

Doing business as

NEO Surgical Group

Practice address

12468 Brantley Commons CT
Fort Myers, FL 33907-5663

Phone

(833) 863-6633

NPI assigned

Aug 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Oleg Kovalenko

Title

Manager

Phone

(833) 863-6633

Specialties & licenses 2

Addresses

Other names 1

• NEO Surgical Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1396464038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12468 BRANTLEY COMMONS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "833-863-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12468 BRANTLEY COMMONS CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075663",
            "telephone_number": "833-863-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEO MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "KOVALENKO",
        "authorized_official_first_name": "OLEG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "833-863-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEO Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tegan Leigh Nelson, PT
• Tracy Zaneta Nelson, OWNER
• Alicia C Nemeth, RN
• Kira Isabel Nemeth
• Jason Nemitz, MD
• Neogenomics Laboratories Inc
• Neogenomics Laboratories Inc
• Neogenomics Laboratories Inc
• Neogenomics Laboratories Inc
• Neogenomics Laboratories Inc

• Orthopaedic Surgery Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.