Individual
MR. KEVIN PETER O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.C.
Contact information
Practice address
7500 SW 30TH ST, DAVIE, FL 33314-1020
(954) 452-7030
(954) 452-7069
Mailing address
7500 SW 30TH ST, DAVIE, FL 33314-1020
(954) 452-7030
(954) 452-7069
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 541
FL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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