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Provider Information for 1700074432

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. HENRY J ONEAL MD

Gender: MALE

Individual NPI: 1700074432

Calendar   Last Updated:  2014-08-20
  Certification Date: 

Details

Name Value
NPI 1700074432
Enumeration Date 2007-10-09
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 13701 BRUCE B DOWNS BLVD SUITE 113
TAMPA, FL 33613-4647
United States

Phone: 813-971-2351 | Fax: 813-971-1636
View Map External Link
Primary Practice Address 13701 BRUCE B DOWNS BLVD SUITE 113
TAMPA, FL 33613-4647
United States

Phone: 813-971-2351 | Fax: 813-971-1636
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other UNITED HEALTHCARE FL 2129500
MEDICAID FL 256846200
Other BC/BS OF FLORIDA FL 46338
Other RAILROAD MEDICARE FL 110231984
Other AETNA FL 7411273
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207R00000X - Internal Medicine FL ME46531