Individual
DR. JOHN J. O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
747 6TH AVE S, ST PETERSBURG, FL 33701-4509
(727) 898-3647
Mailing address
PO BOX 651, ST PETERSBURG, FL 33731-0651
(727) 793-9300
(727) 793-0052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME0019673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06119130001
—
FL
01
—
52821
BCBS
FL
Enumeration date
10/14/2005
Last updated
07/09/2007
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